Jessica Elizabeth Ezell, DO is a medicare enrolled "Pediatrics" physician in Shelby Twp, Michigan. Her current practice location is
15125 22 Mile Rd, Shelby Twp, Michigan. You can reach out to her office (for appointments etc.) via phone at
(586) 532-0599.
Jessica Elizabeth Ezell is licensed to practice in Michigan (license number 5101028683) 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 1942943964.
Physician's Profile
Full Name | Jessica Elizabeth Ezell |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 15125 22 Mile Rd, Shelby Twp, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1942943964
- Provider Enumeration Date: 04/18/2022
- Last Update Date: 06/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 1153708508
- Enrollment ID: I20220524002601
Medical Identifiers
Medical identifiers for Jessica Elizabeth Ezell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942943964 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 5101028683 (Michigan) | Primary |
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. Jessica Elizabeth Ezell 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 |
Jessica Elizabeth Ezell, DO 46649 Greenbriar Dr, Chesterfield, MI 48051-2872 Ph: (586) 292-0181 | Jessica Elizabeth Ezell, DO 15125 22 Mile Rd, Shelby Twp, MI 48315-4406 Ph: (586) 532-0599 |
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