Dr Timothy Gerard Vandenboom Ii, MD - Medicare Pathology in Ypsilanti, MI

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Dr Timothy Gerard Vandenboom Ii, MD is a medicare enrolled "Dermatology - Dermatopathology" physician in Ypsilanti, Michigan. He went to Wayne State University School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Iha Health Services Corporation and his current practice location is 5301 E Huron River Dr, Ypsilanti, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 712-3161.

Dr Timothy Gerard Vandenboom Ii is licensed to practice in Michigan (license number 4301114577) 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 1629344189.

Contact Information

Dr Timothy Gerard Vandenboom Ii, MD
5301 E Huron River Dr,
Ypsilanti, MI 48197-1051
(734) 712-3161
Not Available

Map and Direction




Physician's Profile

Full NameDr Timothy Gerard Vandenboom Ii
GenderMale
SpecialityPathology
Experience12 Years
Location5301 E Huron River Dr, Ypsilanti, Michigan
Accepts Medicare AssignmentsYes. 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 Timothy Gerard Vandenboom Ii attended and graduated from Wayne State University School Of Medicine in 2012
  NPI Data:
  • NPI Number: 1629344189
  • Provider Enumeration Date: 03/29/2012
  • Last Update Date: 04/26/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9335440155
  • Enrollment ID: I20180709002136

Medical Identifiers

Medical identifiers for Dr Timothy Gerard Vandenboom Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629344189NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 125062313 (Illinois)Secondary
207ND0900XDermatology - Dermatopathology 4301114577 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Iha Health Services Corporation2466351440945

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 Timothy Gerard Vandenboom Ii allows following entities to bill medicare on his behalf.
Entity NameIha Health Services Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457408965
PECOS PAC ID: 2466351440
Enrollment ID: O20040108000355
Entity NamePinkus Dermatopathology Laboratory, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346223377
PECOS PAC ID: 8921077884
Enrollment ID: O20040928000304
Entity NameConsultants In Laboratory Medicine Of Greater Toledo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982673372
PECOS PAC ID: 2860474459
Enrollment ID: O20070831000167

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 Timothy Gerard Vandenboom Ii 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 Timothy Gerard Vandenboom Ii, MD
24 Frank Lloyd Wright Dr Lbby J2000,
Ann Arbor, MI 48105-9484

Ph: (734) 747-6766		Dr Timothy Gerard Vandenboom Ii, MD
5301 E Huron River Dr,
Ypsilanti, MI 48197-1051

Ph: (734) 712-3161

Reviews and Comments


Dermatology Doctors in Ypsilanti, MI

Montgomery O Gillard, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4990 W Clark Rd, Building A, Suite 200, Ypsilanti, MI 48197
Phone: 734-572-7500    Fax: 734-572-7777
Dr. Hyuk C Cha, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4990 W Clark Rd, Ste 400, Ypsilanti, MI 48197
Phone: 734-677-3376    Fax: 734-572-3229
Elizabeth Anne Henderson, D.O.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 5333 Mcauley Dr, Suite 4001, Ypsilanti, MI 48197
Phone: 734-712-3980    
Michael Dewall, DO
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 5301 E Huron River Dr, Ypsilanti, MI 48197
Phone: 734-712-3161    Fax: 734-712-2244
Dr. Emily Rose Davis, DO
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 5333 Mcauley Dr Rm 2111, Ypsilanti, MI 48197
Phone: 734-712-5015    Fax: 734-712-8777

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.