Kevin L Vanallen, MD is a medicare enrolled "General Practice" physician in Grand Haven, Michigan. He went to Loma Linda University School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Holland Community Hospital and 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 | Family Practice |
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| Experience | 38 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 Loma Linda University School Of Medicine in 1986
NPI Data:
- NPI Number: 1154373249
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 02/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 6901861269
- Enrollment ID: I20041129000266
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 |
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| 208D00000X | General Practice | 4301053221 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Holland Community Hospital | 0446157291 | 144 |
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. Kevin L Vanallen allows following entities to bill medicare on his behalf.
| Entity Name | Holland Community Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780888099
PECOS PAC ID: 0446157291
Enrollment ID: O20031218000484 |
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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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