Individual provider Active NPI

Beverly Jarema, D.O.

  • Family Medicine Physician
  • Saginaw, MI
National Provider Identifier
1104834563
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101012075 Issued in MI
Practice address
5481 Colony Dr N
Saginaw, MI 48638-7189
Phone
(989) 249-6779
Fax
(989) 249-5869
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101012075 MI Primary

Addresses

Primary practice location

5481 Colony Dr N
Saginaw, MI 48638-7189

Mailing address

5481 Colony Dr N
Saginaw, MI 48638-7189
Phone (989) 249-6779

Other identifiers 1

IdentifierTypeStateIssuer
3253377MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050825000248 MI Practitioner - General PracticePractitioner - Internal MedicinePractitioner - Obstetrics/Gynecology 7113958570 Receives reassigned benefits from 1 practitioner
Practice locations: Saginaw, MI

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Michigan State University College of Human Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5481 Colony Dr N
Saginaw, MI 48638-5721

5481 N Colony Dr
Saginaw, MI 48638-7189
Phone (989) 249-6779

Hospital & facility affiliations

  • Elara Caring Home health agency, Bingham Farms, MI, CCN 239000
  • Covenant at Home Home health agency, Saginaw, MI, CCN 237431
  • Covenant Medical Center Hospital, Saginaw, MI, CCN 230070

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue17
Removal or shaving of skin growth20
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Beverly a Jarema, DO Family Medicine PastSince Jan 1, 1990 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1104834563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5481 COLONY DR N",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486387189",
            "telephone_number": "989-249-6779",
            "fax_number": "989-249-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5481 COLONY DR N",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486387189",
            "telephone_number": "989-249-6779",
            "fax_number": "989-249-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAREMA",
        "first_name": "BEVERLY",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101012075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3253377",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.