Dr Jessica Eryn Greb, DO is a medicare enrolled "Pediatrics" in Detroit, Michigan. Her current practice location is
4201 Saint Antoine St, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at
(313) 745-5147.
Dr Jessica Eryn Greb is licensed to practice in Michigan (license number 5101028235) 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 1356621486.
Provider's Profile
Full Name | Dr Jessica Eryn Greb |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 4201 Saint Antoine St, Detroit, 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: 1356621486
- Provider Enumeration Date: 08/21/2011
- Last Update Date: 03/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 9931521762
- Enrollment ID: I20250312001510
Medical Identifiers
Medical identifiers for Dr Jessica Eryn Greb such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356621486 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WA0400X | Registered Nurse - Addiction (substance Use Disorder) | 4704267821 (Michigan) | Secondary |
208000000X | Pediatrics | 5101028235 (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. Dr Jessica Eryn Greb allows following entities to bill medicare on her behalf.
Entity Name | University Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518 |
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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. Dr Jessica Eryn Greb 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 |
Dr Jessica Eryn Greb, DO 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 Ph: (313) 745-5147 | Dr Jessica Eryn Greb, DO 4201 Saint Antoine St, Detroit, MI 48201-2153 Ph: (313) 745-5147 |
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