Mrs Lateefah Richelle Zischke, CNM is a medicare enrolled "Advanced Practice Midwife" in Hamtramck, Michigan. Her current practice location is
9015 Joseph Campau St, Hamtramck, Michigan. You can reach out to her office (for appointments etc.) via phone at
(313) 664-0777.
Mrs Lateefah Richelle Zischke is licensed to practice in Michigan (license number 4704279173) 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 1811437718.
Provider's Profile
Full Name | Mrs Lateefah Richelle Zischke |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 9015 Joseph Campau St, Hamtramck, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1811437718
- Provider Enumeration Date: 02/27/2017
- Last Update Date: 02/27/2017
Medicare PECOS Information:
- PECOS PAC ID: 9739430596
- Enrollment ID: I20180918004224
Medical Identifiers
Medical identifiers for Mrs Lateefah Richelle Zischke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811437718 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | 4704279173 (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. Mrs Lateefah Richelle Zischke allows following entities to bill medicare on her behalf.
Entity Name | University Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518 |
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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. Mrs Lateefah Richelle Zischke 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 |
Mrs Lateefah Richelle Zischke, CNM 4137 Old Dominion Dr, West Bloomfield, MI 48323-2657 Ph: (859) 333-1475 | Mrs Lateefah Richelle Zischke, CNM 9015 Joseph Campau St, Hamtramck, MI 48212-3726 Ph: (313) 664-0777 |
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