Shyran Jelene Hines-fenderson, MD - Medicare Pediatric Medicine in Detroit, MI

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Shyran Jelene Hines-fenderson, MD is a medicare enrolled "Internal Medicine" physician in Detroit, Michigan. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice Iha Olma Primary Care Risk Llc and her current practice location is 4201 Saint Antoine St, Suite 9d, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 966-5187.

Shyran Jelene Hines-fenderson is licensed to practice in Michigan (license number 4301088673) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699933721.

Contact Information

Shyran Jelene Hines-fenderson, MD
4201 Saint Antoine St, Suite 9d,
Detroit, MI 48201-2153
(313) 966-5187
(313) 966-8111

Map and Direction




Physician's Profile

Full NameShyran Jelene Hines-fenderson
GenderFemale
SpecialityPediatric Medicine
Experience18 Years
Location4201 Saint Antoine St, Detroit, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shyran Jelene Hines-fenderson graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1699933721
  • Provider Enumeration Date: 05/27/2008
  • Last Update Date: 10/02/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3274727862
  • Enrollment ID: I20101027001076

Medical Identifiers

Medical identifiers for Shyran Jelene Hines-fenderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699933721NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 4301088673 (Michigan)Secondary
207R00000XInternal Medicine 4301088673 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joe Mercy Hospital System LivoniaLivonia, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Iha Olma Primary Care Risk Llc115373332420

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. Shyran Jelene Hines-fenderson allows following entities to bill medicare on her behalf.
Entity NameHealth Centers Detroit Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518026541
PECOS PAC ID: 4284539081
Enrollment ID: O20031204000807
Entity NameSt Mary Mercy Physician Practices
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568630077
PECOS PAC ID: 4587742804
Enrollment ID: O20080425000614
Entity NameIha Olma Primary Care Risk Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578162319
PECOS PAC ID: 1153733324
Enrollment ID: O20201211000387

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. Shyran Jelene Hines-fenderson 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
Shyran Jelene Hines-fenderson, MD
7328 Simsbury Dr,
W Bloomfield, MI 48322-3576

Ph: (313) 510-3672		Shyran Jelene Hines-fenderson, MD
4201 Saint Antoine St, Suite 9d,
Detroit, MI 48201-2153

Ph: (313) 966-5187

Reviews and Comments


Internal Medicine Doctors in Detroit, MI

Dr. Saba Alan Francis, M.D.
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Avi Cohen, M.D.
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Lindsey Aurora,
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Alexander Garbarino,
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Maria Diab,
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Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 800-653-6568    Fax: 313-876-1305

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.