Karla Vanderkodde, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Grand Rapids, Michigan. Her current practice location is
3225 N Evergreen Dr Ne, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 364-1500.
Karla Vanderkodde is licensed to practice in Michigan (license number 6801115426) 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 1508233826.
Healthcare Provider's Profile
Full Name | Karla Vanderkodde |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3225 N Evergreen Dr Ne, Grand Rapids, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508233826
- Provider Enumeration Date: 08/24/2015
- Last Update Date: 07/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 9234674946
- Enrollment ID: I20240717001633
Medical Identifiers
Medical identifiers for Karla Vanderkodde such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508233826 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 6801115426 (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. Karla Vanderkodde allows following entities to bill medicare on her behalf.
Entity Name | Pine Rest Christian Mental Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922019157 PECOS PAC ID: 4981506508 Enrollment ID: O20040123000787 |
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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. Karla Vanderkodde 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 |
Karla Vanderkodde, LMSW 300 68th St Se Apt 11, Grand Rapids, MI 49548-6927 Ph: (616) 455-5000 | Karla Vanderkodde, LMSW 3225 N Evergreen Dr Ne, Grand Rapids, MI 49525-9334 Ph: (616) 364-1500 |
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