Johanna Jacoba Verwilghen, MD - Medicare Internal Medicine in Grosse Pointe, MI

Johanna Jacoba Verwilghen, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in Grosse Pointe, Michigan. She graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Internal Medicine. Her current practice location is 16815 E Jefferson Ave, Suite 220, Grosse Pointe, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 831-1100.

Johanna Jacoba Verwilghen is licensed to practice in Michigan (license number 4301077528) 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 1316987142.

Contact Information

Johanna Jacoba Verwilghen, MD
16815 E Jefferson Ave, Suite 220,
Grosse Pointe, MI 48230-1923
(313) 831-1100
(313) 831-1177

Map and Direction




Physician's Profile

Full NameJohanna Jacoba Verwilghen
GenderFemale
SpecialityInternal Medicine
Experience38 Years
Location16815 E Jefferson Ave, Grosse Pointe, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Johanna Jacoba Verwilghen graduated from medical school in 1986
  NPI Data:
  • NPI Number: 1316987142
  • Provider Enumeration Date: 06/08/2006
  • Last Update Date: 02/22/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 4880651728
  • Enrollment ID: I20041214000090

Medical Identifiers

Medical identifiers for Johanna Jacoba Verwilghen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316987142NPI-NPPES
1108235412OtherMIBCBS
026068OtherMIDMC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 4301077528 (Michigan)Secondary
207RR0500XInternal Medicine - Rheumatology 4301077528 (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. Johanna Jacoba Verwilghen allows following entities to bill medicare on her behalf.
Entity NameJohanna J Verwilghen Md Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700054210
PECOS PAC ID: 5991762833
Enrollment ID: O20041213000772

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. Johanna Jacoba Verwilghen 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
Johanna Jacoba Verwilghen, MD
16815 E Jefferson Ave, Suite 220,
Grosse Pointe, MI 48230-1923

Ph: (313) 831-1100
Johanna Jacoba Verwilghen, MD
16815 E Jefferson Ave, Suite 220,
Grosse Pointe, MI 48230-1923

Ph: (313) 831-1100

Reviews and Comments


Internal Medicine Doctors in Grosse Pointe, MI

Dr. John Raymond Schneider, M.D.
Rheumatology
Medicare: Not Enrolled in Medicare
Practice Location: 66 Oxford Rd, Grosse Pointe, MI 48236
Phone: 313-886-7521    Fax: 313-882-6949
Reynald John, MD
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 22201 Moross Rd, Grosse Pointe, MI 48236
Phone: 313-343-7774    Fax: 313-343-8747
Dr. Linda Anne Plizga, D.O.
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 648 Saint Clair St, Grosse Pointe, MI 48230
Phone: 313-264-6460    Fax: 313-640-0909
Zahra Moattari, M.D.
Rheumatology
Medicare: Not Enrolled in Medicare
Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230
Phone: 313-473-1000    Fax: 313-473-1934
Sherilyn Josephine Russell, MD
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 22201 Moross Rd, Suite 252, Grosse Pointe, MI 48236
Phone: 313-343-4411    Fax: 313-343-4412
Dr. Burjor D Ghandhi, MD
Rheumatology
Medicare: Not Enrolled in Medicare
Practice Location: 722 Notre Dame St, Grosse Pointe, MI 48230
Phone: 313-885-5070    Fax: 313-885-0258

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.