Lyle J Vanderschaaf, MD is a medicare enrolled "General Practice" physician in Marquette, Michigan. His current practice location is
420 W Magnetic St, Suite Er, Marquette, Michigan. You can reach out to his office (for appointments etc.) via phone at
(888) 674-0854.
Lyle J Vanderschaaf is licensed to practice in Michigan (license number 4301070441) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063497386.
Physician's Profile
Full Name | Lyle J Vanderschaaf |
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Gender | Male |
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Speciality | General Practice |
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Location | 420 W Magnetic St, Marquette, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063497386
- Provider Enumeration Date: 12/09/2005
- Last Update Date: 07/10/2013
Medicare PECOS Information:
- PECOS PAC ID: 0749240612
- Enrollment ID: I20041014000818
Medical Identifiers
Medical identifiers for Lyle J Vanderschaaf such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063497386 | NPI | - | NPPES |
4301070441 | Other | MI | MICHIGAN LICENSE # |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 4301070441 (Michigan) | Secondary |
208D00000X | General Practice | 4301070441 (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. Lyle J Vanderschaaf allows following entities to bill medicare on his behalf.
Entity Name | Bell Physician Practices Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578992491 PECOS PAC ID: 4981833654 Enrollment ID: O20140130000127 |
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Entity Name | Acquisition Bell Hospital Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699101345 PECOS PAC ID: 3971730987 Enrollment ID: O20140311000227 |
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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. Lyle J Vanderschaaf 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 |
Lyle J Vanderschaaf, MD 4602 Dept, Carol Stream, IL 60122-0021 Ph: (906) 225-4821 | Lyle J Vanderschaaf, MD 420 W Magnetic St, Suite Er, Marquette, MI 49855-2711 Ph: (888) 674-0854 |
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