Jenny Stillwaggon Radesky, MD - Medicare Pediatrics in Ann Arbor, MI

Jenny Stillwaggon Radesky, MD is a medicare enrolled "Pediatrics - Developmental - Behavioral Pediatrics" physician in Ann Arbor, Michigan. Her current practice location is 1500 East Medical Center Dr, 6th Floor C.s. Mott Children's Hospital, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 936-4185.

Jenny Stillwaggon Radesky is licensed to practice in Michigan (license number 4301108770) 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 1588857999.

Contact Information

Jenny Stillwaggon Radesky, MD
1500 East Medical Center Dr, 6th Floor C.s. Mott Children's Hospital,
Ann Arbor, MI 48109-4234
(734) 936-4185
Not Available

Map and Direction




Physician's Profile

Full NameJenny Stillwaggon Radesky
GenderFemale
SpecialityPediatrics - Developmental - Behavioral Pediatrics
Location1500 East 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: 1588857999
  • Provider Enumeration Date: 08/20/2007
  • Last Update Date: 12/08/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9234361999
  • Enrollment ID: I20151217000170

Medical Identifiers

Medical identifiers for Jenny Stillwaggon Radesky such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588857999NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 246596 (Massachusetts)Secondary
208000000XPediatrics 4301108770 (Michigan)Secondary
2080P0006XPediatrics - Developmental - Behavioral Pediatrics 4301108770 (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. Jenny Stillwaggon Radesky allows following entities to bill medicare on her behalf.
Entity NameRegents Of The University Of Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205868353
PECOS PAC ID: 3779496856
Enrollment ID: O20031106000325

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. Jenny Stillwaggon Radesky 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
Jenny Stillwaggon Radesky, MD
3621 South State Street, 700 Kms Place,
Ann Arbor, MI 48108

Ph: (734) 936-2047
Jenny Stillwaggon Radesky, MD
1500 East Medical Center Dr, 6th Floor C.s. Mott Children's Hospital,
Ann Arbor, MI 48109-4234

Ph: (734) 936-4185

Reviews and Comments


Pediatrics Doctors in Ann Arbor, MI

Dr. Michael Edmund Watson, MD
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Phone: 734-936-4000    
Joanna Van Beek, M.D.
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Phone: 734-763-5589    Fax: 734-763-4208
Ashleigh Grund El Sakr, MD
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Jennifer Rose Blase, MD, PH.D.
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Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4000    
Vishvanie Bernadene Stoody, MD
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Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4000    
Maysa Hamade, M.D.
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Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4000    
Dr. Alejandro Velez Lopez, MD
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Medicare: Medicare Enrolled
Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4000    

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.

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