Jenny Stillwaggon Radesky, MD in Ann Arbor, MI

Jenny Stillwaggon Radesky, MD is a medicare enrolled "Pediatrics - Developmental - Behavioral Pediatrics" physician in Ann Arbor, Michigan. Her current practice location is 1500 East Medical Center Dr, 6th Floor C.s. Mott Children's Hospital, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 936-4185.

Jenny Stillwaggon Radesky is licensed to practice in Michigan (license number 4301108770) 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 1588857999.

Contact Information

	Jenny Stillwaggon Radesky, MD
	1500 East Medical Center Dr, 6th Floor C.s. Mott Children's Hospital, Ann Arbor, MI 48109-4234
	(734) 936-4185
	Not Available

Map and Direction

Physician's Profile

Full Name	Jenny Stillwaggon Radesky
Gender	Female
Speciality	Pediatrics - Developmental - Behavioral Pediatrics
Location	1500 East Medical Center Dr, 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: 1588857999
Provider Enumeration Date: 08/20/2007
Last Update Date: 12/08/2015

Medicare PECOS Information:

PECOS PAC ID: 9234361999
Enrollment ID: I20151217000170

Medical Identifiers

Medical identifiers for Jenny Stillwaggon Radesky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588857999	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	246596 (Massachusetts)	Secondary
208000000X	Pediatrics	4301108770 (Michigan)	Secondary
2080P0006X	Pediatrics - Developmental - Behavioral Pediatrics	4301108770 (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. Jenny Stillwaggon Radesky allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The University Of Michigan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205868353 PECOS PAC ID: 3779496856 Enrollment ID: O20031106000325

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. Jenny Stillwaggon Radesky 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
Jenny Stillwaggon Radesky, MD 3621 South State Street, 700 Kms Place, Ann Arbor, MI 48108 Ph: (734) 936-2047	Jenny Stillwaggon Radesky, MD 1500 East Medical Center Dr, 6th Floor C.s. Mott Children's Hospital, Ann Arbor, MI 48109-4234 Ph: (734) 936-4185

Reviews and Comments

Pediatrics Doctors in Ann Arbor, MI

Dr. Michael Edmund Watson, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Joanna Van Beek, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1500 E Medical Center Dr, D3238 Mpb Spc 5718, Ann Arbor, MI 48109 Phone: 734-763-5589 Fax: 734-763-4208
Ashleigh Grund El Sakr, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4900 Jackson Rd Ste A, Ann Arbor, MI 48103 Phone: 734-998-7380
Jennifer Rose Blase, MD, PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Vishvanie Bernadene Stoody, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Maysa Hamade, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Dr. Alejandro Velez Lopez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000

Jenny Stillwaggon Radesky, MD - Medicare Pediatrics in Ann Arbor, MI