Kelly Jean Summerfield, CNM is a medicare enrolled "Advanced Practice Midwife" in Dearborn Heights, Michigan. Her current practice location is
6221 N Telegraph Rd, Dearborn Heights, Michigan. You can reach out to her office (for appointments etc.) via phone at
(313) 561-2200.
Kelly Jean Summerfield is licensed to practice in Michigan (license number 4704213133) 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 1871825703.
Provider's Profile
| Full Name | Kelly Jean Summerfield |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 6221 N Telegraph Rd, Dearborn Heights, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1871825703
- Provider Enumeration Date: 02/03/2010
- Last Update Date: 02/07/2018
Medicare PECOS Information:
- PECOS PAC ID: 2769638162
- Enrollment ID: I20120816000754
Medical Identifiers
Medical identifiers for Kelly Jean Summerfield such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871825703 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 4704213133 (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. Kelly Jean Summerfield allows following entities to bill medicare on her behalf.
| Entity Name | Prime Garden City Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598179954
PECOS PAC ID: 6901702133
Enrollment ID: O20031209000857 |
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| Entity Name | Haddad Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679928717
PECOS PAC ID: 8022351766
Enrollment ID: O20190520002344 |
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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. Kelly Jean Summerfield 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 |
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Kelly Jean Summerfield, CNM
6221 N Telegraph Rd,
Dearborn Heights, MI 48127-3222
Ph: (313) 561-2200 | Kelly Jean Summerfield, CNM
6221 N Telegraph Rd,
Dearborn Heights, MI 48127-3222
Ph: (313) 561-2200 |
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