Danielle Brianna-douthat Douglas, CNM, FNP-BC in Ann Arbor, MI

Danielle Brianna-douthat Douglas, CNM, FNP-BC is a medicare enrolled "Advanced Practice Midwife" in Ann Arbor, Michigan. Her current practice location is 210 Little Lake Dr Ste 10, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 332-9936.

Danielle Brianna-douthat Douglas is licensed to practice in Michigan (license number 4704292408) 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 1609225564.

Contact Information

	Danielle Brianna-douthat Douglas, CNM, FNP-BC
	210 Little Lake Dr Ste 10, Ann Arbor, MI 48103-6218
	(734) 332-9936
	(206) 666-2989

Map and Direction

Provider's Profile

Full Name	Danielle Brianna-douthat Douglas
Gender	Female
Speciality	Advanced Practice Midwife
Location	210 Little Lake Dr Ste 10, 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: 1609225564
Provider Enumeration Date: 06/10/2016
Last Update Date: 03/19/2019

Medicare PECOS Information:

PECOS PAC ID: 8022301845
Enrollment ID: I20160801000991

Medical Identifiers

Medical identifiers for Danielle Brianna-douthat Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609225564	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704292408 (Michigan)	Secondary
367A00000X	Advanced Practice Midwife	4704292408 (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. Danielle Brianna-douthat Douglas allows following entities to bill medicare on her behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139

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. Danielle Brianna-douthat Douglas 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
Danielle Brianna-douthat Douglas, CNM, FNP-BC 210 Little Lake Dr Ste 10, Ann Arbor, MI 48103-6218 Ph: (734) 332-9936	Danielle Brianna-douthat Douglas, CNM, FNP-BC 210 Little Lake Dr Ste 10, Ann Arbor, MI 48103-6218 Ph: (734) 332-9936

Reviews and Comments

Advanced Practice Midwife Nurses in Ann Arbor, MI

Samantha Kay Sharpe, RN, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Melissa D Furlette-koski, Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 4200 Whitehall Dr Ste 350, Ann Arbor, MI 48105 Phone: 734-572-9600 Fax: 734-572-0616
Jenni Lynn Schulz, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Kenyatta Herndon, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 4200 Whitehall Dr Ste 350, Ann Arbor, MI 48105 Phone: 734-572-9600 Fax: 734-572-0616
Jennifer Lynn Kelley, RN CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 4200 Whitehall Dr Ste 350, Ann Arbor, MI 48105 Phone: 734-572-9600 Fax: 734-572-0616
Kendra Marie Palomaki, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 426 Village Green Blvd Apt 201, Ann Arbor, MI 48105 Phone: 906-458-5246
Jennifer N Baughman, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1500 East Medical Center Dr, Von Voigtlander Women's Hospital, Ann Arbor, MI 48109 Phone: 734-936-4000

Danielle Brianna-douthat Douglas, CNM, FNP-BC - Medicare Advanced Practice Midwife in Ann Arbor, MI