Annika Van Wieren, MD is a medicare enrolled "Emergency Medicine" physician in Chesterfield Township, Michigan. Her current practice location is
36750 26 Mile Road Emergency Department, Chesterfield Township, Michigan. You can reach out to her office (for appointments etc.) via phone at
(865) 879-2000.
Annika Van Wieren is licensed to practice in Michigan (license number 4351046510) 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 1750901658.
Physician's Profile
Full Name | Annika Van Wieren |
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Gender | Female |
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Speciality | Emergency Medicine |
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Location | 36750 26 Mile Road Emergency Department, Chesterfield Township, 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: 1750901658
- Provider Enumeration Date: 04/21/2020
- Last Update Date: 06/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 9830520147
- Enrollment ID: I20230630001933
Medical Identifiers
Medical identifiers for Annika Van Wieren such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750901658 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 4301509100 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
207P00000X | Emergency Medicine | 4351046510 (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. Annika Van Wieren allows following entities to bill medicare on her behalf.
Entity Name | Emergency Department Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225083595 PECOS PAC ID: 9436048998 Enrollment ID: O20040312000466 |
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Entity Name | Observation Emergency Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497920524 PECOS PAC ID: 9133292410 Enrollment ID: O20080719000024 |
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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. Annika Van Wieren 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 |
Annika Van Wieren, MD 36750 26 Mile Road Emergency Department, Chesterfield Township, MI 48047 Ph: (865) 879-2000 | Annika Van Wieren, MD 36750 26 Mile Road Emergency Department, Chesterfield Township, MI 48047 Ph: (865) 879-2000 |
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