Jacqueline Vidosh, MD in Ann Arbor, MI - Medicare Anesthesiology

Jacqueline Vidosh, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Ann Arbor, Michigan. She went to University Of Michigan Medical School and graduated in 2020 and has 6 years of diverse experience with area of expertise as Anesthesiology. She is a member of the group practice Regents Of The University Of Michigan and her current practice location is 1500 E. Medical Center Dr., 1h247, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 936-4280.

Jacqueline Vidosh is licensed to practice in Michigan (license number 4351046180) 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 1578189445.

Contact Information

	Jacqueline Vidosh, MD
	1500 E. Medical Center Dr., 1h247, Ann Arbor, MI 48109
	(734) 936-4280
	(734) 936-9091

Map and Direction

Physician's Profile

Full Name	Jacqueline Vidosh
Gender	Female
Speciality	Anesthesiology
Experience	6 Years
Location	1500 E. Medical Center Dr., Ann Arbor, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacqueline Vidosh attended and graduated from University Of Michigan Medical School in 2020

NPI Data:

NPI Number: 1578189445
Provider Enumeration Date: 06/17/2020
Last Update Date: 08/05/2025

Medicare PECOS Information:

PECOS PAC ID: 2466874284
Enrollment ID: I20240131004033

Medical Identifiers

Medical identifiers for Jacqueline Vidosh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578189445	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	4301510510 (Michigan)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	4351046180 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Michigan Health System	Ann arbor, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Regents Of The University Of Michigan	3779496856	3327

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 Vidosh allows following entities to bill medicare on her behalf.

Entity Name	Beaumont Medical Group Hospital Based Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796

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 Vidosh 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
Jacqueline Vidosh, MD 1500 E. Medical Center Dr., 1h247, Ann Arbor, MI 48109 Ph: (734) 936-4280	Jacqueline Vidosh, MD 1500 E. Medical Center Dr., 1h247, Ann Arbor, MI 48109 Ph: (734) 936-4280

Jacqueline Vidosh, MD - Medicare Anesthesiology in Ann Arbor, MI