Dale Alan Wiersma, MD is a medicare enrolled "Internal Medicine" physician in Fremont, Michigan. His current practice location is
212 S Sullivan Ave, Fremont, Michigan. You can reach out to his office (for appointments etc.) via phone at
(616) 391-3139.
Dale Alan Wiersma is licensed to practice in Michigan (license number 4301056205) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639126832.
Physician's Profile
Full Name | Dale Alan Wiersma |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 212 S Sullivan Ave, Fremont, Michigan |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dale Alan Wiersma attended and graduated from in
NPI Data:
- NPI Number: 1639126832
- Provider Enumeration Date: 05/31/2006
- Last Update Date: 02/22/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dale Alan Wiersma such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639126832 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 4301056205 (Michigan) | Primary |
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. Dale Alan Wiersma 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 |
Dale Alan Wiersma, MD 100 Michigan St Ne, Mc845, Grand Rapids, MI 49503-2560 Ph: () - | Dale Alan Wiersma, MD 212 S Sullivan Ave, Fremont, MI 49412-1548 Ph: (616) 391-3139 |
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