Ms Carly Lynn Kassa, - Medicare Nurse Practitioner in Pontiac, MI

Ms Carly Lynn Kassa, is a medicare enrolled "Nurse Practitioner - Gerontology" in Pontiac, Michigan. Her current practice location is 50 N Perry St, Pontiac, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 338-5645.

Ms Carly Lynn Kassa is licensed to practice in Michigan (license number 4704297338) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083106140.

Contact Information

Ms Carly Lynn Kassa,
50 N Perry St,
Pontiac, MI 48342-2217
(248) 338-5645
(248) 338-5547



Provider's Profile

Full NameMs Carly Lynn Kassa
GenderFemale
SpecialityNurse Practitioner - Gerontology
Location50 N Perry St, Pontiac, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083106140
  • Provider Enumeration Date: 06/05/2018
  • Last Update Date: 06/05/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3971859687
  • Enrollment ID: I20180711002005

Medical Identifiers

Medical identifiers for Ms Carly Lynn Kassa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083106140NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 4704297338 (Michigan)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Carly Lynn Kassa allows following entities to bill medicare on her behalf.
Entity NameFadi Salloum Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053510446
PECOS PAC ID: 2062503584
Enrollment ID: O20070813000088

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Carly Lynn Kassa is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Carly Lynn Kassa,
232 Grace Avuenue,
Rochester Hills, MI 48307

Ph: (248) 227-2897
Ms Carly Lynn Kassa,
50 N Perry St,
Pontiac, MI 48342-2217

Ph: (248) 338-5645

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Nurse Practitioner Nurses in Pontiac, MI

Marilyn Chandross, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 44405 Woodward Ave, Pontiac, MI 48341
Phone: 248-858-3700    
Carol D Wilkinson, APRN, BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 44405 Woodward Ave, Pontiac, MI 48341
Phone: 248-858-6954    Fax: 248-858-3067
Mrs. Dorothy Helen Rodriguez, ANP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 50 N Perry St, Pontiac, MI 48342
Phone: 248-338-5210    Fax: 248-338-5584
Cristiana Gherasim, DNP, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1685 Baldwin Ave Ste 400, Pontiac, MI 48340
Phone: 248-977-3758    
Elsina John,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 462 N Telegraph Rd, Pontiac, MI 48341
Phone: 248-605-3502    
Ariola Cacaj Dixon, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 462 N Telegraph Rd, Pontiac, MI 48341
Phone: 248-234-7540    Fax: 248-581-8716

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