Jennifer Caudill, MD PLLC
NPI 1477841245ActiveOrganization· Dermatology· Clarkston, MI
Dermatology in Clarkston, Michigan, registered in NPPES in July 2011. The authorized official on file is Alisha Palermino, Practice Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1477841245 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 14, 2011 |
| Last updated in NPPES | Jun 28, 2021 |
| Certified by provider | Jun 28, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 4301 086079 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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