Randon Carl Jenkins, in Warren, MI - Medicare Nurse Practitioner

Randon Carl Jenkins, is a medicare enrolled "Nurse Practitioner - Gerontology" in Warren, Michigan. His current practice location is 4669 E 8 Mile Rd, Warren, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 416-6262.

Randon Carl Jenkins is licensed to practice in Michigan (license number 4704273274) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093217218.

Contact Information

	Randon Carl Jenkins,
	4669 E 8 Mile Rd, Warren, MI 48091-2709
	(313) 416-6262
	Not Available

Map and Direction

Provider's Profile

Full Name	Randon Carl Jenkins
Gender	Male
Speciality	Nurse Practitioner - Gerontology
Location	4669 E 8 Mile Rd, Warren, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093217218
Provider Enumeration Date: 03/03/2018
Last Update Date: 03/03/2018

Medicare PECOS Information:

PECOS PAC ID: 2567715451
Enrollment ID: I20181023001097

Medical Identifiers

Medical identifiers for Randon Carl Jenkins such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093217218	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	4704273274 (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. Randon Carl Jenkins allows following entities to bill medicare on his behalf.

Entity Name	Sami Abu Farha Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073664843 PECOS PAC ID: 2264486372 Enrollment ID: O20050310000550

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. Randon Carl Jenkins 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
Randon Carl Jenkins, 6547 Windmill Ln, West Bloomfield, MI 48324-3759 Ph: (313) 516-7690	Randon Carl Jenkins, 4669 E 8 Mile Rd, Warren, MI 48091-2709 Ph: (313) 416-6262

Reviews and Comments

Nurse Practitioner Nurses in Warren, MI

Lauren Koenig, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4669 E 8 Mile Rd, Warren, MI 48091 Phone: 313-416-6262
Rowena Callo Teodoro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27560 Hoover Rd., Warren, MI 48093 Phone: 586-757-6400 Fax: 586-757-8400
Mrs. Lauren Ashley Zipay, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5000
Li Song, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29245 Ryan Rd Ste 300, Warren, MI 48092 Phone: 586-578-0222
Olga Dmitryuk, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11480 E 13 Mile Rd, Warren, MI 48093 Phone: 586-216-9253
Alexander Cole-selvaggio, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27101 Schoenherr Rd, Warren, MI 48088 Phone: 586-758-5800 Fax: 586-758-5841
Jenny Dessinger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27560 Hoover Rd, Warren, MI 48093 Phone: 586-757-6400

Randon Carl Jenkins, - Medicare Nurse Practitioner in Warren, MI