Ms Marilyn Ann Rothenberg, CNM is a medicare enrolled "Advanced Practice Midwife" in Hamtramck, Michigan. Her current practice location is
9021 Joseph Campau St, Hamtramck, Michigan. You can reach out to her office (for appointments etc.) via phone at
(313) 871-1926.
Ms Marilyn Ann Rothenberg is licensed to practice in Michigan (license number 4704123676) 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 1336187863.
Provider's Profile
Full Name | Ms Marilyn Ann Rothenberg |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 9021 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: 1336187863
- Provider Enumeration Date: 06/04/2006
- Last Update Date: 08/16/2019
Medicare PECOS Information:
- PECOS PAC ID: 9638192693
- Enrollment ID: I20060105000576
Medical Identifiers
Medical identifiers for Ms Marilyn Ann Rothenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336187863 | NPI | - | NPPES |
4208662890 | Other | MA | BCBS PIN |
4807836 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 4704123676 (Michigan) | Secondary |
367A00000X | Advanced Practice Midwife | 4704123676 (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. Ms Marilyn Ann Rothenberg allows following entities to bill medicare on her behalf.
Entity Name | Wayne County Treasurer-payroll, County Of Wayne |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700215977 PECOS PAC ID: 2961462635 Enrollment ID: O20160311000413 |
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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. Ms Marilyn Ann Rothenberg 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 |
Ms Marilyn Ann Rothenberg, CNM 9021 Joseph Campau St, Hamtramck, MI 48212-3726 Ph: (313) 871-1926 | Ms Marilyn Ann Rothenberg, CNM 9021 Joseph Campau St, Hamtramck, MI 48212-3726 Ph: (313) 871-1926 |
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