Dr John P Beavers, NP - Medicare Nurse Practitioner in Portage, MI

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Dr John P Beavers, NP is a medicare enrolled "Nurse Practitioner" physician in Portage, Michigan. His current practice location is 5717 Oakland Dr, Portage, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 323-4473.

Dr John P Beavers is licensed to practice in Michigan (license number 4704234332) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003066143.

Contact Information

Dr John P Beavers, NP
5717 Oakland Dr,
Portage, MI 49024-1116
(269) 323-4473
Not Available

Map and Direction




Physician's Profile

Full NameDr John P Beavers
GenderMale
SpecialityNurse Practitioner
Location5717 Oakland Dr, Portage, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003066143
  • Provider Enumeration Date: 09/25/2008
  • Last Update Date: 10/13/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9638230311
  • Enrollment ID: I20081213000098

Medical Identifiers

Medical identifiers for Dr John P Beavers such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003066143NPI-NPPES
500C961050OtherMIBCBSM
1003066143MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 4704234332 (Michigan)Secondary
363L00000XNurse Practitioner 4704234332 (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. Dr John P Beavers allows following entities to bill medicare on his behalf.
Entity NameMedexpress Urgent Care Pc - Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649694407
PECOS PAC ID: 9931332194
Enrollment ID: O20140424000573
Entity NameVitality Healthcare Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770954703
PECOS PAC ID: 7911206131
Enrollment ID: O20160421002491

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. Dr John P Beavers 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 AddressPractice Location Address
Dr John P Beavers, NP
5717 Oakland Dr,
Portage, MI 49024-1116

Ph: (269) 323-4473		Dr John P Beavers, NP
5717 Oakland Dr,
Portage, MI 49024-1116

Ph: (269) 323-4473

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.