Jacquelyn R Roberson, MD - Medicare Pediatric Medicine in Detroit, MI

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Jacquelyn R Roberson, MD is a medicare enrolled "Medical Genetics - Clinical Genetics (m.d.)" physician in Detroit, Michigan. She went to Michigan State University College Of Human Medicine and graduated in 1975 and has 49 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice Henry Ford Medical Group and her current practice location is Henry Ford Health System, 2799 West Grand Boulevard, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 916-2436.

Jacquelyn R Roberson is licensed to practice in Michigan (license number 4301037509) 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 1982771358.

Contact Information

Jacquelyn R Roberson, MD
Henry Ford Health System, 2799 West Grand Boulevard,
Detroit, MI 48202
(313) 916-2436
Not Available

Map and Direction




Physician's Profile

Full NameJacquelyn R Roberson
GenderFemale
SpecialityPediatric Medicine
Experience49 Years
LocationHenry Ford Health System, Detroit, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacquelyn R Roberson attended and graduated from Michigan State University College Of Human Medicine in 1975
  NPI Data:
  • NPI Number: 1982771358
  • Provider Enumeration Date: 11/29/2006
  • Last Update Date: 03/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1052480134
  • Enrollment ID: I20080515000091

Medical Identifiers

Medical identifiers for Jacquelyn R Roberson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982771358NPI-NPPES
JR037509OtherCHAMPUS-CHAMPUS
JR037509OtherCOMMERCIAL-COMMERCIAL NUMBER
134265610MedicaidMI
700H262280OtherBLUE CROSS-BLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 4301037509 (Michigan)Secondary
207SG0201XMedical Genetics - Clinical Genetics (m.d.) 4301037509 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Henry Ford West Bloomfield HospitalWest bloomfield, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Henry Ford Medical Group05471783112124

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. Jacquelyn R Roberson allows following entities to bill medicare on her behalf.
Entity NameHenry Ford Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134144801
PECOS PAC ID: 0547178311
Enrollment ID: O20031105000139

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. Jacquelyn R Roberson 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
Jacquelyn R Roberson, MD
Henry Ford Health System, 3031 West Grand Boulevard Suite 700,
Detroit, MI 48202

Ph: (313) 916-3115		Jacquelyn R Roberson, MD
Henry Ford Health System, 2799 West Grand Boulevard,
Detroit, MI 48202

Ph: (313) 916-2436

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.