Shyran Jelene Hines-fenderson, MD in Detroit, MI

Shyran Jelene Hines-fenderson, MD is a medicare enrolled "Internal Medicine" physician in Detroit, Michigan. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice Iha Olma Primary Care Risk Llc and her current practice location is 4201 Saint Antoine St, Suite 9d, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 966-5187.

Shyran Jelene Hines-fenderson is licensed to practice in Michigan (license number 4301088673) 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 1699933721.

Contact Information

	Shyran Jelene Hines-fenderson, MD
	4201 Saint Antoine St, Suite 9d, Detroit, MI 48201-2153
	(313) 966-5187
	(313) 966-8111

Map and Direction

Physician's Profile

Full Name	Shyran Jelene Hines-fenderson
Gender	Female
Speciality	Pediatric Medicine
Experience	18 Years
Location	4201 Saint Antoine St, Detroit, 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:

Shyran Jelene Hines-fenderson graduated from medical school in 2006

NPI Data:

NPI Number: 1699933721
Provider Enumeration Date: 05/27/2008
Last Update Date: 10/02/2019

Medicare PECOS Information:

PECOS PAC ID: 3274727862
Enrollment ID: I20101027001076

Medical Identifiers

Medical identifiers for Shyran Jelene Hines-fenderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699933721	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4301088673 (Michigan)	Secondary
207R00000X	Internal Medicine	4301088673 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joseph Mercy Home Care, Ann Arbor	Farmington hills, MI	Home health agency
St Joe Mercy Hospital System Livonia	Livonia, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Iha Olma Primary Care Risk Llc	1153733324	21

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. Shyran Jelene Hines-fenderson allows following entities to bill medicare on her behalf.

Entity Name	Health Centers Detroit Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518026541 PECOS PAC ID: 4284539081 Enrollment ID: O20031204000807

Entity Name	St Mary Mercy Physician Practices
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568630077 PECOS PAC ID: 4587742804 Enrollment ID: O20080425000614

Entity Name	Iha Olma Primary Care Risk Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578162319 PECOS PAC ID: 1153733324 Enrollment ID: O20201211000387

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. Shyran Jelene Hines-fenderson 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
Shyran Jelene Hines-fenderson, MD 7328 Simsbury Dr, W Bloomfield, MI 48322-3576 Ph: (313) 510-3672	Shyran Jelene Hines-fenderson, MD 4201 Saint Antoine St, Suite 9d, Detroit, MI 48201-2153 Ph: (313) 966-5187

Reviews and Comments

Internal Medicine Doctors in Detroit, MI

Dr. Saba Alan Francis, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 50 E Canfield St, Detroit, MI 48201 Phone: 313-745-4525
Dr. Roopkiranjot Kahlon, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4201 Saint Antoine St, University Health Center 2e, Detroit, MI 48201 Phone: 313-745-4525
Avi Cohen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600
Waleed Obaid, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-966-3250
Lindsey Aurora, Internal Medicine Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600
Alexander Garbarino, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600
Maria Diab, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 800-653-6568 Fax: 313-876-1305

Shyran Jelene Hines-fenderson, MD - Medicare Pediatric Medicine in Detroit, MI