Genette Clair Black, CNM in Dearborn, MI - Medicare Advanced Practice Midwife

Genette Clair Black, CNM is a medicare enrolled "Advanced Practice Midwife" in Dearborn, Michigan. Her current practice location is 5500 Auto Club Dr, Dearborn, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 425-4445.

Genette Clair Black is licensed to practice in Michigan (license number CNM08305) 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 1750082632.

Contact Information

	Genette Clair Black, CNM
	5500 Auto Club Dr, Dearborn, MI 48126-2779
	(313) 425-4445
	Not Available

Map and Direction

Provider's Profile

Full Name	Genette Clair Black
Gender	Female
Speciality	Advanced Practice Midwife
Location	5500 Auto Club Dr, Dearborn, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750082632
Provider Enumeration Date: 03/16/2023
Last Update Date: 03/31/2023

Medicare PECOS Information:

PECOS PAC ID: 8123493087
Enrollment ID: I20230405003008

Medical Identifiers

Medical identifiers for Genette Clair Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750082632	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	CNM08305 (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. Genette Clair Black allows following entities to bill medicare on her behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139

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. Genette Clair Black 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
Genette Clair Black, CNM 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: (313) 874-4806	Genette Clair Black, CNM 5500 Auto Club Dr, Dearborn, MI 48126-2779 Ph: (313) 425-4445

Reviews and Comments

Advanced Practice Midwife Nurses in Dearborn, MI

Mrs. Gisele Marie-anne George, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7500 Fax: 313-593-8840
Mrs. Laura Jean Mills, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7500
Sheryl Demick, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-8570
Abigail Channing Southard, MSN, CNM, C-EFM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000
Sarah Debs, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-467-3701
Taylor Jane Flynn, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-982-5848
Ms. Katherine Marie Klima, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 6450 Maple St, Dearborn, MI 48126 Phone: 313-216-2255

Genette Clair Black, CNM - Medicare Advanced Practice Midwife in Dearborn, MI