Dr Rudy Jerome Vervaeke, MD in Saint Clair Shores, MI

Dr Rudy Jerome Vervaeke, MD is a medicare enrolled "Internal Medicine - Addiction Medicine" physician in Saint Clair Shores, Michigan. He went to Wayne State University School Of Medicine and graduated in 1981 and has 43 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Innovation Medicine Pllc and his current practice location is 21420 Harper Ave, Suite 2, Saint Clair Shores, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 775-7400.

Dr Rudy Jerome Vervaeke is licensed to practice in Michigan (license number 4301044898) 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 1922108927.

Contact Information

	Dr Rudy Jerome Vervaeke, MD
	21420 Harper Ave, Suite 2, Saint Clair Shores, MI 48080-3607
	(586) 775-7400
	(586) 775-0091

Map and Direction

Physician's Profile

Full Name	Dr Rudy Jerome Vervaeke
Gender	Male
Speciality	Internal Medicine
Experience	43 Years
Location	21420 Harper Ave, Saint Clair Shores, Michigan
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:

Dr Rudy Jerome Vervaeke attended and graduated from Wayne State University School Of Medicine in 1981

NPI Data:

NPI Number: 1922108927
Provider Enumeration Date: 09/22/2006
Last Update Date: 11/20/2015

Medicare PECOS Information:

PECOS PAC ID: 6800886433
Enrollment ID: I20040515000418

Medical Identifiers

Medical identifiers for Dr Rudy Jerome Vervaeke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922108927	NPI	-	NPPES
4842512-10	Medicaid	MI
352263519	Other	MI	COMMERCIAL
1105018171	Other	MA	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RA0401X	Internal Medicine - Addiction Medicine	4301044898 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Beaumont Hospital - Grosse Pointe	Grosse pointe, MI	Hospital
Ascension St John Hospital	Detroit, MI	Hospital
Henry Ford Macomb Hospital	Clinton township, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Innovation Medicine Pllc	9537446497	7

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 Rudy Jerome Vervaeke allows following entities to bill medicare on his behalf.

Entity Name	Southeastern Michigan Medical Consultants, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942300884 PECOS PAC ID: 7113941923 Enrollment ID: O20060119000668

Entity Name	Innovation Medicine Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720511405 PECOS PAC ID: 9537446497 Enrollment ID: O20170501002208

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 Rudy Jerome Vervaeke 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 Rudy Jerome Vervaeke, MD 21420 Harper Ave, Suite 2, Saint Clair Shores, MI 48080-3607 Ph: (586) 775-7400	Dr Rudy Jerome Vervaeke, MD 21420 Harper Ave, Suite 2, Saint Clair Shores, MI 48080-3607 Ph: (586) 775-7400

Reviews and Comments

Internal Medicine Doctors in Saint Clair Shores, MI

Jahnavi Chakrala, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20229 E 9 Mile Rd Ste 200, Saint Clair Shores, MI 48080 Phone: 586-267-0200 Fax: 313-343-4412
Kimberley Demerle, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 21000 E 12 Mile Rd Ste 112, Saint Clair Shores, MI 48081 Phone: 586-772-5550 Fax: 586-772-2470
Maridel Aileen Hernandez, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19603 E 8 Mile Rd, Saint Clair Shores, MI 48080 Phone: 586-445-7900 Fax: 586-445-7940
Daniel Shelden, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 23715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080 Phone: 586-447-8021 Fax: 586-447-8022
Dr. Demetrios Mermiges, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19611 E 8 Mile Rd, Saint Clair Shores, MI 48080 Phone: 586-772-6850 Fax: 586-772-3810
Zaid Kasmikha, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24211 Little Mack Ave, Saint Clair Shores, MI 48080 Phone: 586-498-0440 Fax: 586-498-0429
Dr. Marybeth Hardwicke, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 23411 Jefferson Ave, Suite 100, Saint Clair Shores, MI 48080 Phone: 586-778-4080 Fax: 586-778-6055

Dr Rudy Jerome Vervaeke, MD - Medicare Internal Medicine in Saint Clair Shores, MI