Jennifer L Rivard (NPI# 1215144217, PAC ID# 5092816207) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1215144217 |
| PAC ID by PECOS | 5092816207 |
| Professional Enrollment ID | I20070718000299 |
| Full Name | Jennifer L Rivard |
| Organization Legal Name | S L HUSAIN HAMZAVI MD PC |
| Address |
43151 Dalcoma Dr Suite 1 Clinton Twp MI 48038-6306 |
| Phone Number | 5862868720308 |
| Gender | F |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 2003 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 7012976590 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230047 | HENRY FORD MACOMB HOSPITAL |
| 230156 | ST JOSEPH MERCY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2305 Genoa Business Park Dr, Suite 180, Brighton, MI 48114-7007 | 8103554300 | DERMATOLOGY AND PHOTOTHERAPY CENTER OF BRIGHTON PLC |
| 285 N Lilley Rd, Canton, MI 48187-3907 | 7344951506 | S L HUSAIN HAMZAVI MD PC |
| 43151 Dalcoma Dr, Suite 1, Clinton Twp, MI 48038-6306 | 5862868720308 | S L HUSAIN HAMZAVI MD PC |
| 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 | 8104551600 | S L HUSAIN HAMZAVI MD PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 3% | |
| MIPS_EC_047_overall | Care Plan | 3% | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 29% | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 29% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 56% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 56% | |
| MIPS_EC_358_overall | Patient-Centered Surgical Risk Assessment and Communication | 21% | |
| MIPS_EC_358_overall | Patient-Centered Surgical Risk Assessment and Communication | 21% | |
| MIPS_EC_400_overall | One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk | 4% | |
| MIPS_EC_400_overall | One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk | 4% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 93% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 93% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 5% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 5% |
| Organization Legal Name | S L HUSAIN HAMZAVI MD PC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Simons | Physician Assistant | S L Husain Hamzavi Md PC | 8584 N Canton Ctr Rd, Canton, MI 48187-1310 |
| Jennifer J Marlin | Physician Assistant | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Ashley Carriveau | Physician Assistant | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Syed H Hamzavi | Dermatology | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Cynthia Chow | Dermatology | S L Husain Hamzavi Md PC | 43151 Dalcoma Dr, Suite 1, Clinton Twp, MI 48038-6306 |
| Meredith L Price | Dermatology | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Tina M Williams | Physician Assistant | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Megan Hribernik | Nurse Practitioner | S L Husain Hamzavi Md PC | 43151 Dalcoma Dr, Suite 1, Clinton Twp, MI 48038-6306 |
| Jessica J Mcleod | Nurse Practitioner | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Nada Macaron | Pathology | S L Husain Hamzavi Md PC | 43151 Dalcoma Dr, Suite 1, Clinton Twp, MI 48038-6306 |
| Street Address |
43151 DALCOMA DR SUITE 1 |
| City | CLINTON TWP |
| State | MI |
| Zip | 48038-6306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia Chow | Dermatology | S L Husain Hamzavi Md PC | 43151 Dalcoma Dr, Suite 1, Clinton Twp, MI 48038-6306 |
| Megan Hribernik | Nurse Practitioner | S L Husain Hamzavi Md PC | 43151 Dalcoma Dr, Suite 1, Clinton Twp, MI 48038-6306 |
| Nada Macaron | Pathology | S L Husain Hamzavi Md PC | 43151 Dalcoma Dr, Suite 1, Clinton Twp, MI 48038-6306 |
| Syed L Husain Hamzavi | Dermatology | S L Husain Hamzavi Md PC | 43151 Dalcoma Dr, Suite 1, Clinton Twp, MI 48038-6306 |
| David Blum | Dermatology | S L Husain Hamzavi Md PC | 43151 Dalcoma Dr, Clinton Twp, MI 48038-6306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam C Schmid | Nurse Practitioner | Advanced Dermatology of Michigan PC | 44003 Partridge Creek Blvd, Clinton Township, MI 48038-0002 |
| Mary G Marji | Nurse Practitioner | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Mark Allen Miller | Chiropractic | Family Chiropractor PC. | 44476 Hayes Rd, Clinton Township, MI 48038-1090 |
| Rachel M Klamo | Family Medicine | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Jessica Szatkowski | Nurse Practitioner | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Suresh Kumar | Internal Medicine | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Daymon Peterson | Internal Medicine | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Debra A Schmelzer | Physician Assistant | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Sarah L Wisniewski | Physician Assistant | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Aji Njie | Internal Medicine | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Find all physicians in zip 48038 | |||
| City | CLINTON TWP |
| Zip Code | 48038 |
| Specialty | DERMATOLOGY |
| City + Specialty | CLINTON TWP + DERMATOLOGY |
Please comment or provide details below to improve the information on Jennifer L Rivard.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.