Jennifer Clair Villavicencio, MD in Ann Arbor, MI - Medicare Obstetrics & Gynecology

Jennifer Clair Villavicencio, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Ann Arbor, Michigan. Her current practice location is 1500 East Medical Center Drive, 9th Floor Vonvoigtlander Womens Hosp Recp B, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 763-6295.

Jennifer Clair Villavicencio is licensed to practice in Maryland (license number D90207) 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 1790125391.

Contact Information

	Jennifer Clair Villavicencio, MD
	1500 East Medical Center Drive, 9th Floor Vonvoigtlander Womens Hosp Recp B, Ann Arbor, MI 48109-4276
	(734) 763-6295
	Not Available

Map and Direction

Physician's Profile

Full Name	Jennifer Clair Villavicencio
Gender	Female
Speciality	Obstetrics & Gynecology
Location	1500 East Medical Center Drive, Ann Arbor, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790125391
Provider Enumeration Date: 06/27/2013
Last Update Date: 04/20/2021

Medicare PECOS Information:

PECOS PAC ID: 3274839733
Enrollment ID: I20210422001722

Medical Identifiers

Medical identifiers for Jennifer Clair Villavicencio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790125391	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	4301111670 (Michigan)	Secondary
207V00000X	Obstetrics & Gynecology	D90207 (Maryland)	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. Jennifer Clair Villavicencio allows following entities to bill medicare on her behalf.

Entity Name	University Of Maryland Community Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477530624 PECOS PAC ID: 3678472214 Enrollment ID: O20040102000687

Entity Name	St. Agnes Healthcare, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144250176 PECOS PAC ID: 9830092733 Enrollment ID: O20040128001146

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. Jennifer Clair Villavicencio 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
Jennifer Clair Villavicencio, MD 3621 South State Street, 700 Kms Place, Ann Arbor, MI 48108 Ph: (734) 936-2047	Jennifer Clair Villavicencio, MD 1500 East Medical Center Drive, 9th Floor Vonvoigtlander Womens Hosp Recp B, Ann Arbor, MI 48109-4276 Ph: (734) 763-6295

Reviews and Comments

Obstetrics & Gynecology Doctors in Ann Arbor, MI

Evangelia Lea Lazaris, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Olivia Winfrey, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Dr. Ellery Grace Sarosi, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Joanne Vicari Block, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4350 Jackson Rd Ste 300, Ann Arbor, MI 48103 Phone: 734-995-2259 Fax: 734-995-2418
Aisha Yousuf, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1500 East Medical Center Drive, L4100 Womens, Ann Arbor, MI 48109 Phone: 734-936-9434 Fax: 734-647-1006
Dr. Edwin Peter Peterson, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 375 W Northfield Church Rd, Ann Arbor, MI 48105 Phone: 734-663-1705 Fax: 734-663-1302
Dr. Ashley Mia Dowgiert, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4350 Jackson Rd, Suite 300, Ann Arbor, MI 48103 Phone: 734-995-2259 Fax: 734-995-2418

Jennifer Clair Villavicencio, MD - Medicare Obstetrics & Gynecology in Ann Arbor, MI