Audrey Joy-baker Vander Wal, MA, LPC in Grand Rapids, MI

Audrey Joy-baker Vander Wal, MA, LPC is a medicare enrolled "Counselor - Professional" provider in Grand Rapids, Michigan. Her current practice location is 2305 E Paris Ave Se Ste 203, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 816-1758.

Audrey Joy-baker Vander Wal is licensed to practice in Michigan (license number 6401223152) 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 1396351995.

Contact Information

	Audrey Joy-baker Vander Wal, MA, LPC
	2305 E Paris Ave Se Ste 203, Grand Rapids, MI 49546-2426
	(616) 816-1758
	(616) 333-7685

Map and Direction

Healthcare Provider's Profile

Full Name	Audrey Joy-baker Vander Wal
Gender	Female
Speciality	Counselor - Professional
Location	2305 E Paris Ave Se Ste 203, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396351995
Provider Enumeration Date: 09/18/2020
Last Update Date: 04/26/2024

Medicare PECOS Information:

PECOS PAC ID: 6002256443
Enrollment ID: I20240501003978

Medical Identifiers

Medical identifiers for Audrey Joy-baker Vander Wal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396351995	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6401223152 (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. Audrey Joy-baker Vander Wal allows following entities to bill medicare on her behalf.

Entity Name	Stange Clinic, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205564531 PECOS PAC ID: 1557730603 Enrollment ID: O20221212001673

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. Audrey Joy-baker Vander Wal 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 Address	Practice Location Address
Audrey Joy-baker Vander Wal, MA, LPC 184 Glendale St, Holland, MI 49423-3031 Ph: (719) 310-4557	Audrey Joy-baker Vander Wal, MA, LPC 2305 E Paris Ave Se Ste 203, Grand Rapids, MI 49546-2426 Ph: (616) 816-1758

Reviews and Comments

Counselor in Grand Rapids, MI

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Amanda Joy Rewa, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 Trowbridge St Ne Apt 208, Grand Rapids, MI 49503 Phone: 231-755-8284
Mrs. Marian Evelyn Lilly, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 40 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-356-6247 Fax: 616-732-6392

Audrey Joy-baker Vander Wal, MA, LPC - Medicare Counselor in Grand Rapids, MI