EILEEN MARGARET REICKERT (MD) – Family Medicine Physician, NPI 1174515779

EILEEN MARGARET REICKERT (MD) is a healthcare provider. based in Clinton twp, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 4301061184 (MI). The NPI Number for EILEEN MARGARET REICKERT (MD) is 1174515779

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
EILEEN MARGARET REICKERT (MD)
NPI
1174515779
Phone
(586) 228-4635
Address
43800 GARFIELD RD
Enumeration Date
19 August 2005
Last Update Date
13 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
5867772050
Graduation Year
1993 (33 years ago)
PAC ID
1951445444
Group Practice PAC ID
3173424082
Professional Enrollment ID
I20100222000645
Address ID
MI480803200SA24911CXXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

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Provider Addresses for EILEEN MARGARET REICKERT (MD)

  • 43800, Garfield Road, Clinton Township, Macomb County, Michigan, 48038, United States

    CLINTON TWP, MI 480381136

    Phone: (586) 228-4635

    Fax: (586) 228-4520

    Type: Mailing

  • Saint John Family Medical Center, 24911, Little Mack Avenue, Saint Clair Shores, Macomb County, Michigan, 48080, United States

    ST CLAIR SHORES, MI 480803200

    Phone: (586) 777-2050

    Fax: (586) 777-2189

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-02-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100222000645IFamily PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes13587$0
99213Established patient office or other outpatient visit, 20-29 minutes4743$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4444$0
View full utilization report →

Insurance plans in this area (ZIP 48038)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173424082View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IL
-MI
-MI
-MI
Infectious DiseaseMI
H E M A T O L O G Y/ O N C O L O G YMO
-MI
-MI
H E M A T O L O G Y/ O N C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

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Frequently asked questions

Does EILEEN MARGARET REICKERT (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — EILEEN MARGARET REICKERT (MD) uses 1174515779.
Can I rely on EILEEN MARGARET REICKERT (MD) being an active provider?
As of the registry snapshot, EILEEN MARGARET REICKERT (MD) is marked active.
What taxonomy line describes EILEEN MARGARET REICKERT (MD)?
For research purposes, treat EILEEN MARGARET REICKERT (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does EILEEN MARGARET REICKERT (MD) serve?
EILEEN MARGARET REICKERT (MD)'s listing highlights Clinton Twp, Michigan; more addresses can appear in NPPES.
Is the information about EILEEN MARGARET REICKERT (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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