Dr Kimberly Bain Mitcham, DO in Hudsonville, MI

Dr Kimberly Bain Mitcham, DO is a medicare enrolled "Pediatrics" physician in Hudsonville, Michigan. Her current practice location is 3152 Port Sheldon St Ste C, Hudsonville, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 669-9238.

Dr Kimberly Bain Mitcham is licensed to practice in Michigan (license number 5101014563) 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 1457465155.

Contact Information

	Dr Kimberly Bain Mitcham, DO
	3152 Port Sheldon St Ste C, Hudsonville, MI 49426-9297
	(616) 669-9238
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kimberly Bain Mitcham
Gender	Female
Speciality	Pediatrics
Location	3152 Port Sheldon St Ste C, Hudsonville, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457465155
Provider Enumeration Date: 08/18/2006
Last Update Date: 03/01/2022

Medicare PECOS Information:

PECOS PAC ID: 4284615527
Enrollment ID: I20040525000220

Medical Identifiers

Medical identifiers for Dr Kimberly Bain Mitcham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457465155	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	5101014563 (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 Kimberly Bain Mitcham allows following entities to bill medicare on her behalf.

Entity Name	Spectrum Health Primary Care Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity 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. Dr Kimberly Bain Mitcham 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
Dr Kimberly Bain Mitcham, DO 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () -	Dr Kimberly Bain Mitcham, DO 3152 Port Sheldon St Ste C, Hudsonville, MI 49426-9297 Ph: (616) 669-9238

Reviews and Comments

Pediatrics Doctors in Hudsonville, MI

Kurt Meppelink, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3912 32nd Ave, Hudsonville, MI 49426 Phone: 616-252-8700
Leah Ballantyne Peirce, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3152 Port Sheldon St Ste C, Hudsonville, MI 49426 Phone: 616-669-9238
Kelly B Huggett, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3152 Port Sheldon St, Suite C, Hudsonville, MI 49426 Phone: 616-669-9238 Fax: 616-669-8296
Caitlin Mlynarek, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3912 32nd Ave, Hudsonville, MI 49426 Phone: 616-252-8700 Fax: 616-252-8750
Joash Ajay Raj, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3152 Port Sheldon St, Suite C, Hudsonville, MI 49426 Phone: 616-669-9238
Ruel Lirio, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3152 Port Sheldon St, Hudsonville, MI 49426 Phone: 616-669-9238 Fax: 616-669-8296

Dr Kimberly Bain Mitcham, DO - Medicare Pediatrics in Hudsonville, MI