Jaclyn Randel, MD in Ypsilanti, MI - Medicare Addiction Medicine

Jaclyn Randel, MD is a medicare enrolled "Family Medicine - Addiction Medicine" physician in Ypsilanti, Michigan. She went to Wayne State University School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Addiction Medicine. She is a member of the group practice Iha Health Services Corporation and her current practice location is 5333 Mcauley Dr Rm 5011, Ypsilanti, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 622-5016.

Jaclyn Randel is licensed to practice in Michigan (license number 4301054205) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1386624591.

Contact Information

	Jaclyn Randel, MD
	5333 Mcauley Dr Rm 5011, Ypsilanti, MI 48197-1003
	(734) 622-5016
	(734) 622-5017

Map and Direction

Physician's Profile

Full Name	Jaclyn Randel
Gender	Female
Speciality	Addiction Medicine
Experience	35 Years
Location	5333 Mcauley Dr Rm 5011, Ypsilanti, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jaclyn Randel attended and graduated from Wayne State University School Of Medicine in 1989

NPI Data:

NPI Number: 1386624591
Provider Enumeration Date: 01/23/2006
Last Update Date: 06/13/2019

Medicare PECOS Information:

PECOS PAC ID: 3072594340
Enrollment ID: I20040525000491

Medical Identifiers

Medical identifiers for Jaclyn Randel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386624591	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4301054205 (Michigan)	Secondary
207QA0401X	Family Medicine - Addiction Medicine	4301054205 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joseph Mercy Hospital	Ann arbor, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Iha Health Services Corporation	2466351440	945

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. Jaclyn Randel allows following entities to bill medicare on her behalf.

Entity Name	Iha Health Services Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355

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. Jaclyn Randel 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 Address	Practice Location Address
Jaclyn Randel, MD 24 Frank Lloyd Wright Dr Lbby J2000, Ann Arbor, MI 48105-9484 Ph: () -	Jaclyn Randel, MD 5333 Mcauley Dr Rm 5011, Ypsilanti, MI 48197-1003 Ph: (734) 622-5016

Reviews and Comments

Family Medicine Doctors in Ypsilanti, MI

Ryan Balacanao Huerto, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 200 Arnet St, Ypsilanti, MI 48198 Phone: 734-482-6221
Christine Theresa Cigolle, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 200 Arnett St, Suite 200, Ypsilanti, MI 48198 Phone: 734-482-6221
Dr. Michael Washburn Smith, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3145 W Clark Rd, Suite 201, Ypsilanti, MI 48197 Phone: 734-528-5700 Fax: 734-572-9100
Laura Emily Ann Lee, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Arnet St, Ypsilanti, MI 48198 Phone: 734-482-6221
Ross Philip Schmaeman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4940 W Clark Rd Ste 100, Ypsilanti, MI 48197 Phone: 734-971-1188 Fax: 734-971-3658
Dr. Robert Breakey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4940 W Clark Rd, Ste 100, Ypsilanti, MI 48197 Phone: 734-971-1188 Fax: 734-971-3658
Ellen H. Gryniewicz, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3145 W Clark Rd, Suite 401, Ypsilanti, MI 48197 Phone: 734-528-5700 Fax: 734-528-5701

Jaclyn Randel, MD - Medicare Addiction Medicine in Ypsilanti, MI