Genette Clair Black, CNM - Medicare Advanced Practice Midwife in Dearborn, MI

Genette Clair Black, CNM is a medicare enrolled "Advanced Practice Midwife" in Dearborn, Michigan. Her current practice location is 5500 Auto Club Dr, Dearborn, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 425-4445.

Genette Clair Black is licensed to practice in Michigan (license number CNM08305) 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 1750082632.

Contact Information

Genette Clair Black, CNM
5500 Auto Club Dr,
Dearborn, MI 48126-2779
(313) 425-4445
Not Available



Provider's Profile

Full NameGenette Clair Black
GenderFemale
SpecialityAdvanced Practice Midwife
Location5500 Auto Club Dr, Dearborn, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750082632
  • Provider Enumeration Date: 03/16/2023
  • Last Update Date: 03/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8123493087
  • Enrollment ID: I20230405003008

Medical Identifiers

Medical identifiers for Genette Clair Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750082632NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife CNM08305 (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. Genette Clair Black allows following entities to bill medicare on her behalf.
Entity NameHenry Ford Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134144801
PECOS PAC ID: 0547178311
Enrollment ID: O20031105000139

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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. Genette Clair Black 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 AddressPractice Location Address
Genette Clair Black, CNM
1 Ford Pl Ste 3a,
Detroit, MI 48202-3450

Ph: (313) 874-4806
Genette Clair Black, CNM
5500 Auto Club Dr,
Dearborn, MI 48126-2779

Ph: (313) 425-4445

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Advanced Practice Midwife Nurses in Dearborn, MI

Mrs. Gisele Marie-anne George, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124
Phone: 313-593-7500    Fax: 313-593-8840
Mrs. Laura Jean Mills, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124
Phone: 313-593-7500    
Sheryl Demick, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124
Phone: 313-593-8570    
Abigail Channing Southard, MSN, CNM, C-EFM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124
Phone: 313-593-7000    
Sarah Debs, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124
Phone: 313-467-3701    
Taylor Jane Flynn, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124
Phone: 313-982-5848    
Ms. Katherine Marie Klima, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 6450 Maple St, Dearborn, MI 48126
Phone: 313-216-2255    

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