Jacqueline Elizabeth Clark, CNM - Medicare Advanced Practice Midwife in Ann Arbor, MI

Jacqueline Elizabeth Clark, CNM is a medicare enrolled "Advanced Practice Midwife" in Ann Arbor, Michigan. Her current practice location is 1500 E Medical Center Dr, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 936-4000.

Jacqueline Elizabeth Clark is licensed to practice in Michigan (license number 4704304116) 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 1902424161.

Contact Information

Jacqueline Elizabeth Clark, CNM
1500 E Medical Center Dr,
Ann Arbor, MI 48109-5000
(734) 936-4000
Not Available



Provider's Profile

Full NameJacqueline Elizabeth Clark
GenderFemale
SpecialityAdvanced Practice Midwife
Location1500 E Medical Center Dr, Ann Arbor, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902424161
  • Provider Enumeration Date: 07/13/2020
  • Last Update Date: 11/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3678990116
  • Enrollment ID: I20210210000616

Medical Identifiers

Medical identifiers for Jacqueline Elizabeth Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902424161NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife (* (Not Available))Secondary
367A00000XAdvanced Practice Midwife 4704304116 (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. Jacqueline Elizabeth Clark allows following entities to bill medicare on her behalf.
Entity NameIha Health Services Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457408965
PECOS PAC ID: 2466351440
Enrollment ID: O20040108000355

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› Verified 5 days ago

Entity NameRegents Of The University Of Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619992351
PECOS PAC ID: 3779496856
Enrollment ID: O20040607001157

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› Verified 5 days ago

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. Jacqueline Elizabeth Clark 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
Jacqueline Elizabeth Clark, CNM
3621 S State St,
Ann Arbor, MI 48108-1633

Ph: (734) 647-5299
Jacqueline Elizabeth Clark, CNM
1500 E Medical Center Dr,
Ann Arbor, MI 48109-5000

Ph: (734) 936-4000

News Archive

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The Queensland Health authorities have issued warnings to residents and tourists in the Emerald region regarding mosquitoes, biting midges (commonly known as sand flies) and black flies in areas affected by flooding. The Council insect control programs are helping with reducing the number of insects, say authorities but people still need to protect themselves to reduce the risk of being bitten in the next few weeks.

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› Verified 5 days ago


Advanced Practice Midwife Nurses in Ann Arbor, MI

Samantha Kay Sharpe, RN, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4000    
Melissa D Furlette-koski,
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 4200 Whitehall Dr Ste 350, Ann Arbor, MI 48105
Phone: 734-572-9600    Fax: 734-572-0616
Jan Margaret Buchanan, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 1500 East Medical Center Dr, Von Voigtlander Women's Hospital, Ann Arbor, MI 48109
Phone: 734-936-4000    
Mrs. Jenni Lynn Schulz, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 4200 Whitehall Dr Ste 350, Ann Arbor, MI 48105
Phone: 734-572-9600    Fax: 734-572-0616
Kenyatta Herndon, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 4200 Whitehall Dr Ste 350, Ann Arbor, MI 48105
Phone: 734-572-9600    Fax: 734-572-0616
Jennifer Lynn Kelley, RN CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 4200 Whitehall Dr Ste 350, Ann Arbor, MI 48105
Phone: 734-572-9600    Fax: 734-572-0616
Jennifer N Baughman, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 1500 East Medical Center Dr, Von Voigtlander Women's Hospital, Ann Arbor, MI 48109
Phone: 734-936-4000    

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