Jacqueline Richardson, CNM, DNP - Medicare Advanced Practice Midwife in Troy, MI

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Jacqueline Richardson, CNM, DNP is a medicare enrolled "Advanced Practice Midwife" in Troy, Michigan. Her current practice location is 44201 Dequindre Rd, Troy, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 964-5000.

Jacqueline Richardson is licensed to practice in Michigan (license number 4704314070) 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 1063191211.

Contact Information

Jacqueline Richardson, CNM, DNP
44201 Dequindre Rd,
Troy, MI 48085-1117
(248) 964-5000
Not Available

Map and Direction




Provider's Profile

Full NameJacqueline Richardson
GenderFemale
SpecialityAdvanced Practice Midwife
Location44201 Dequindre Rd, Troy, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063191211
  • Provider Enumeration Date: 07/14/2023
  • Last Update Date: 11/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2264889153
  • Enrollment ID: I20231115000605

Medical Identifiers

Medical identifiers for Jacqueline Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063191211NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 4704314070 (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. Jacqueline Richardson allows following entities to bill medicare on her behalf.
Entity NameBeaumont Medical Group Hospital Based Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427567858
PECOS PAC ID: 3072875889
Enrollment ID: O20180314001796

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. Jacqueline Richardson 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
Jacqueline Richardson, CNM, DNP
26901 Beaumont Blvd # 3d,
Southfield, MI 48033-3849

Ph: (947) 522-4352		Jacqueline Richardson, CNM, DNP
44201 Dequindre Rd,
Troy, MI 48085-1117

Ph: (248) 964-5000

Reviews and Comments


Advanced Practice Midwife Nurses in Troy, MI

Cecilia Martin, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 44201 Dequindre Rd, Troy, MI 48085
Phone: 248-964-3476    Fax: 248-964-3422

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.