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MARC A SKYLSEN
NPI 1235530726
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since September 15, 2014PECOS Enrolled
4160 JOHN R ST STE 615, DETROIT, MI 48201(313) 745-4195(313) 993-8669 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marc A Skylsen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARC A SKYLSEN (NPI 1235530726) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235530726
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMARC A SKYLSEN
Location Address4160 JOHN R ST STE 615Detroit, MI 48201-2022
Mailing Address4160 John R St Ste 615Detroit, MI 48201-2022 · (313) 745-4195 · Fax (313) 993-8669
Phone(313) 745-4195
Fax(313) 993-8669
Sole ProprietorNo
Enumeration DateSeptember 15, 2014
Last NPPES UpdateApril 12, 2022
NPPES CertifiedMarch 24, 2022
✔ NPI 1235530726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
4160 JOHN R ST STE 615, Detroit, MI 48201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marc A Skylsen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM DEAN JACOBUS DO
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
ALFREDO MUNOZ-LAROCHE MD
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
VEDA VYAS GOKULA MD, MBA
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
ZAYD AYAS
Surgery
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
ROOZBEH MANSOUR MD
Surgery
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-8773
MR. MOHAMEDALMORTDA KHAIRALSEED MD
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
JESSICA A JOHNS MD
Emergency Medicine
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
DR. MARILEE JA CLUNK M.D.
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marc Skylsen's NPI number?

The NPI number for Marc Skylsen is 1235530726. It was assigned to this individual provider in the NPPES registry on September 15, 2014.

Where is Marc Skylsen located?

Marc Skylsen practices at 4160 John R St Ste 615, Detroit, MI 48201. The listed phone number is (313) 745-4195.

What is Marc Skylsen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Marc Skylsen enrolled in Medicare?

Yes. Marc Skylsen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marc Skylsen was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.