Kenyatta Herndon, CNM in Ann Arbor, MI - Medicare Advanced Practice Midwife

Kenyatta Herndon, CNM is a medicare enrolled "Advanced Practice Midwife" in Ann Arbor, Michigan. Her current practice location is 4200 Whitehall Dr Ste 350, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 572-9600.

Kenyatta Herndon is licensed to practice in Michigan (license number 4704303960) 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 1134642291.

Contact Information

	Kenyatta Herndon, CNM
	4200 Whitehall Dr Ste 350, Ann Arbor, MI 48105-9694
	(734) 572-9600
	(734) 572-0616

Map and Direction

Provider's Profile

Full Name	Kenyatta Herndon
Gender	Female
Speciality	Advanced Practice Midwife
Location	4200 Whitehall Dr Ste 350, 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: 1134642291
Provider Enumeration Date: 07/20/2017
Last Update Date: 08/16/2023

Medicare PECOS Information:

PECOS PAC ID: 2860751690
Enrollment ID: I20180124000073

Medical Identifiers

Medical identifiers for Kenyatta Herndon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134642291	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	4704303960 (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. Kenyatta Herndon allows following entities to bill medicare on her behalf.

Entity Name	Hurley Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982630844 PECOS PAC ID: 2961308481 Enrollment ID: O20031208000375

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. Kenyatta Herndon 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
Kenyatta Herndon, CNM 24 Frank Lloyd Wright Dr Ste J2000, Ann Arbor, MI 48105-9484 Ph: (734) 747-6766	Kenyatta Herndon, CNM 4200 Whitehall Dr Ste 350, Ann Arbor, MI 48105-9694 Ph: (734) 572-9600

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
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

Kenyatta Herndon, CNM - Medicare Advanced Practice Midwife in Ann Arbor, MI