Dr Mary Kathleen Kline, MD is a medicare enrolled "Family Medicine" physician in Granville, Michigan. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Advantage Health/saint Mary's Medical Group and her current practice location is
3380 44th St Sw, Granville, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 685-8250.
Dr Mary Kathleen Kline is licensed to practice in Michigan (license number 4301095108) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174751945.
Physician's Profile
Full Name | Dr Mary Kathleen Kline |
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Gender | Female |
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Speciality | Family Practice |
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Experience | 16 Years |
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Location | 3380 44th St Sw, Granville, Michigan |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Mary Kathleen Kline graduated from medical school in 2008
NPI Data:
- NPI Number: 1174751945
- Provider Enumeration Date: 06/30/2009
- Last Update Date: 09/05/2012
Medicare PECOS Information:
- PECOS PAC ID: 9931365848
- Enrollment ID: I20120720000604
Medical Identifiers
Medical identifiers for Dr Mary Kathleen Kline such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174751945 | NPI | - | NPPES |
4301095108 | Other | MI | MICHIGAN LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 4301095108 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Advantage Health/saint Mary's Medical Group | 4082807961 | 386 |
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 Mary Kathleen Kline allows following entities to bill medicare on her behalf.
Entity Name | Advantage Health/saint Mary's Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279 |
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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. Dr Mary Kathleen Kline 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 Mary Kathleen Kline, MD 245 State St Se, Ste 1a, Grand Rapids, MI 49503-4600 Ph: (616) 685-1808 | Dr Mary Kathleen Kline, MD 3380 44th St Sw, Granville, MI 49418 Ph: (616) 685-8250 |
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