Kevin L Vanallen, MD is a medicare enrolled "General Practice" physician in Grand Haven, Michigan. His current practice location is
15100 Whittaker Way, Grand Haven, Michigan. You can reach out to his office (for appointments etc.) via phone at
(616) 935-6200.
Kevin L Vanallen is licensed to practice in Michigan (license number 4301053221) 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 1154373249.
Physician's Profile
| Full Name | Kevin L Vanallen |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 15100 Whittaker Way, Grand Haven, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kevin L Vanallen attended and graduated from in
NPI Data:
- NPI Number: 1154373249
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 02/16/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kevin L Vanallen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154373249 | NPI | - | NPPES |
| 4770010 | Medicaid | MI | |
| 4770020 | Medicaid | MI | |
| 1598712390 | Other | MI | GROUP NPI |
| 4770001 | Medicaid | MI | |
| 0804103371 | Other | MI | BCBS |
| 4773881 | Medicaid | MI | |
| 4773952 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 4301053221 (Michigan) | Primary |
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. Kevin L Vanallen 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 |
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Kevin L Vanallen, MD
100 Michigan St Ne # Mc845,
Grand Rapids, MI 49503-2560
Ph: () - | Kevin L Vanallen, MD
15100 Whittaker Way,
Grand Haven, MI 49417-8696
Ph: (616) 935-6200 |
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