| Jennifer Trepte Caudill, MD | |
|
5885 S. Main St., Suite 1, Clarkston, MI 48346 | |
| (248) 623-9700 | |
| (248) 623-8996 |
| Full Name | Jennifer Trepte Caudill |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 17 Years |
| Location | 5885 S. Main St., Clarkston, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518175116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 4301086079 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jennifer Caudill, Md Pllc | 6305017625 | 2 |
| Entity Name | Jennifer Caudill, Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477841245 PECOS PAC ID: 6305017625 Enrollment ID: O20110919000187 |
| Entity Name | Main Street Dermatology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881371946 PECOS PAC ID: 3476917766 Enrollment ID: O20230920000987 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Trepte Caudill, MD 5885 S. Main St., Suite 1, Clarkston, MI 48346 Ph: (248) 623-9700 | Jennifer Trepte Caudill, MD 5885 S. Main St., Suite 1, Clarkston, MI 48346 Ph: (248) 623-9700 |
Susan Hanson Klemmer, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 6080 Dixie Hwy, Suite B, Clarkston, MI 48346 Phone: 248-623-9700 Fax: 248-623-8996 | |
Brian A Kopitzki, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5701 Bow Pointe Dr Ste 215, Clarkston, MI 48346 Phone: 248-620-3376 Fax: 248-620-3376 | |
Dr. Brett Barry Bender, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5701 Bow Pointe Dr Ste 215, Clarkston, MI 48346 Phone: 248-620-3376 Fax: 248-620-3379 | |
Dr. Wendy L Mcfalda, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5701 Bow Pointe Dr, Suite 215, Clarkston, MI 48346 Phone: 248-620-3376 Fax: 248-620-3379 | |
Dr. Richard Saul Schwartz, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 6770 Dixie Hwy, Suite 304, Clarkston, MI 48346 Phone: 248-625-1123 Fax: 248-625-7044 |