JACKSON SHRIVER
NPI 1619613585
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI
- Individual
- Male
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About JACKSON SHRIVER
This page provides the complete NPI Profile along with additional information for Jackson Shriver, a primary care provider established in Ann Arbor, Michigan with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1619613585 assigned on May 2022. The practitioner's primary taxonomy code is 390200000X with license number 4351048984 (MI). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1619613585 Verify this NPI
- Provider Name
- JACKSON SHRIVER
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1500 E MEDICAL CENTER DR ANN ARBOR, MI 48109
- Location Phone
- (734) 998-2020
- Mailing Address
- 1500 E MEDICAL CENTER DR ANN ARBOR, MI 48109
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-12-2022
- Last Update Date
- 05-12-2022
- Code Navigator
A primary care provider (PCP) like Jackson Shriver sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- License No.
- 4351048984
- License State
- MI
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare Participation & PECOS Enrollment Status
Jackson Shriver is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619613585, enumerated as an "individual" on May 12, 2022.
The provider is located at 1500 E MEDICAL CENTER DR ANN ARBOR, MI 48109 and the phone number is (734) 998-2020.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
