Jacob Vander Weide, MD in Detroit, MI - Medicare Emergency Medicine

Jacob Vander Weide, MD is a medicare enrolled "Emergency Medicine" physician in Detroit, Michigan. He went to Wayne State University School Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Observation Emergency Physicians Pc, Emergency Department Physicians Pc and his current practice location is 22101 Moross Rd, Emergency Dept, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 343-3400.

Jacob Vander Weide is licensed to practice in Michigan (license number 4301504289) 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 1396235685.

Contact Information

	Jacob Vander Weide, MD
	22101 Moross Rd, Emergency Dept, Detroit, MI 48236-2148
	(313) 343-3400
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacob Vander Weide
Gender	Male
Speciality	Emergency Medicine
Experience	6 Years
Location	22101 Moross Rd, Detroit, 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:

Jacob Vander Weide attended and graduated from Wayne State University School Of Medicine in 2018

NPI Data:

NPI Number: 1396235685
Provider Enumeration Date: 05/14/2018
Last Update Date: 05/26/2021

Medicare PECOS Information:

PECOS PAC ID: 1456616358
Enrollment ID: I20210527000906

Medical Identifiers

Medical identifiers for Jacob Vander Weide such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396235685	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	4351038388 (Michigan)	Secondary
207P00000X	Emergency Medicine	4301504289 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension St John Hospital	Detroit, MI	Hospital
Ascension River District Hospital	East china, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Observation Emergency Physicians Pc	9133292410	40
Emergency Department Physicians Pc	9436048998	63

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. Jacob Vander Weide allows following entities to bill medicare on his behalf.

Entity Name	Emergency Department Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225083595 PECOS PAC ID: 9436048998 Enrollment ID: O20040312000466

Entity Name	Observation Emergency Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497920524 PECOS PAC ID: 9133292410 Enrollment ID: O20080719000024

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. Jacob Vander Weide 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
Jacob Vander Weide, MD 22101 Moross Rd, Emergency Dept, Detroit, MI 48236-2148 Ph: () -	Jacob Vander Weide, MD 22101 Moross Rd, Emergency Dept, Detroit, MI 48236-2148 Ph: (313) 343-3400

Reviews and Comments

Emergency Medicine Doctors in Detroit, MI

Kristin Inger, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-966-3300
Dr. Gerard Edward Heath, MD, MBA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600
Dr. Robert T Malinowski, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-966-3300
Dr. Kamal K Nangia, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-8040
Dr. Matthew J Griffin, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-966-3300
Gregory L. Hays, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Phone: 313-916-2436
Brooke M Frakes, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-966-1024

Jacob Vander Weide, MD - Medicare Emergency Medicine in Detroit, MI