Mrs Lori Lynn Vanderweele, RD, CSP in Grand Rapids, MI - Medicare Dietitian, Registered Provider

Mrs Lori Lynn Vanderweele, RD, CSP is a medicare enrolled "Dietitian, Registered" provider in Grand Rapids, Michigan. Her current practice location is 435 Ionia Ave Sw Ste A210, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 486-0385.

Mrs Lori Lynn Vanderweele is licensed to practice in Michigan (license number 912475) 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 1154608578.

Contact Information

	Mrs Lori Lynn Vanderweele, RD, CSP
	435 Ionia Ave Sw Ste A210, Grand Rapids, MI 49503-5161
	(616) 486-0385
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Lori Lynn Vanderweele
Gender	Female
Speciality	Dietitian, Registered
Location	435 Ionia Ave Sw Ste A210, 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: 1154608578
Provider Enumeration Date: 11/14/2011
Last Update Date: 09/06/2023

Medicare PECOS Information:

PECOS PAC ID: 9931162658
Enrollment ID: I20230516000548

Medical Identifiers

Medical identifiers for Mrs Lori Lynn Vanderweele such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154608578	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	912475 (Ohio)	Secondary
133VN1004X	Dietitian, Registered - Nutrition, Pediatric	912475 (Indiana)	Secondary
133V00000X	Dietitian, Registered	912475 (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. Mrs Lori Lynn Vanderweele allows following entities to bill medicare on her behalf.

Provider Name	Spectrum Health Primary Care Partners
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091

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. Mrs Lori Lynn Vanderweele 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
Mrs Lori Lynn Vanderweele, RD, CSP 100 Michigan St Ne, Grand Rapids, MI 49503-2560 Ph: (269) 760-8841	Mrs Lori Lynn Vanderweele, RD, CSP 435 Ionia Ave Sw Ste A210, Grand Rapids, MI 49503-5161 Ph: (616) 486-0385

Reviews and Comments

Dietitian, Registered in Grand Rapids, MI

Janet Dominowski, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4100 Lake Dr Se, Suite 200, Grand Rapids, MI 49546 Phone: 616-267-8950 Fax: 616-267-8585
Erika S Geile, DIETICIAN, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 330 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49506 Phone: 616-752-6235 Fax: 616-752-6324
Megan Nicole Hannon, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503 Phone: 616-486-9830
Rose Britt, RDN, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 235 Wealthy St Se, Grand Rapids, MI 49503 Phone: 616-840-8156
Krista M Gast, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 435 Ionia Ave Sw Ste A210, Grand Rapids, MI 49503 Phone: 616-486-0385
Amy Robinson-defouw, MA, RD, CDE Dietitian Medicare: Medicare Enrolled Practice Location: 221 Michigan St Ne, Suite 200, Grand Rapids, MI 49503 Phone: 616-267-8950 Fax: 616-267-8585
Kristen Marie Swendrowski, RD, PA-C Dietitian Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7272 Fax: 616-361-5828

Mrs Lori Lynn Vanderweele, RD, CSP - Medicare Dietitian in Grand Rapids, MI