Dr Jennifer Cooper Dudovitz, OD - Medicare Optometrist in Warren, MI

Dr Jennifer Cooper Dudovitz, OD is a medicare enrolled "Optometrist" provider in Warren, Michigan. Her current practice location is 28655 Hoover Rd, Warren, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 751-0400.

Dr Jennifer Cooper Dudovitz is licensed to practice in Michigan (license number 4901003920) 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 1790720225.

Contact Information

Dr Jennifer Cooper Dudovitz, OD
28655 Hoover Rd,
Warren, MI 48093-4105
(586) 751-0400
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jennifer Cooper Dudovitz
GenderFemale
SpecialityOptometrist
Location28655 Hoover Rd, Warren, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790720225
  • Provider Enumeration Date: 06/18/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3870864929
  • Enrollment ID: I20170808000752

Medical Identifiers

Medical identifiers for Dr Jennifer Cooper Dudovitz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790720225NPI-NPPES
0E06683OtherMIBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 4901003920 (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 Jennifer Cooper Dudovitz allows following entities to bill medicare on her behalf.
Provider NameHeritage Optical Center Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1285728964
PECOS PAC ID: 1052408986
Enrollment ID: O20071024000612

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 Jennifer Cooper Dudovitz 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
Dr Jennifer Cooper Dudovitz, OD
10494 Ludlow Ave,
Huntington Woods, MI 48070-1524

Ph: (248) 543-9486
Dr Jennifer Cooper Dudovitz, OD
28655 Hoover Rd,
Warren, MI 48093-4105

Ph: (586) 751-0400

Reviews and Comments


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Phone: 586-573-0470    Fax: 586-573-0648
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Phone: 586-558-5440    Fax: 586-558-2041
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Phone: 586-777-0060    Fax: 586-777-1501

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.