Anita Maria Vanderstelt, DO is a medicare enrolled "Pediatrics" physician in Jenison, Michigan. Her current practice location is
7686 Georgetown Ctr Dr, Jenison, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 252-8600.
Anita Maria Vanderstelt is licensed to practice in Michigan (license number 5101014733) 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 1629046503.
Physician's Profile
Full Name | Anita Maria Vanderstelt |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 7686 Georgetown Ctr Dr, Jenison, 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: 1629046503
- Provider Enumeration Date: 03/08/2006
- Last Update Date: 11/30/2020
Medicare PECOS Information:
- PECOS PAC ID: 9638248248
- Enrollment ID: I20080522000501
Medical Identifiers
Medical identifiers for Anita Maria Vanderstelt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629046503 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 5101014733 (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. Anita Maria Vanderstelt allows following entities to bill medicare on her behalf.
Entity Name | Ascension St John Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
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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. Anita Maria Vanderstelt 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 |
Anita Maria Vanderstelt, DO 5900 Byron Center Ave Sw, Attn: Medical Administration, Wyoming, MI 49519-9606 Ph: () - | Anita Maria Vanderstelt, DO 7686 Georgetown Ctr Dr, Jenison, MI 49428-8101 Ph: (616) 252-8600 |
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