Michael Vantiem, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Mount Clemens, Michigan. His current practice location is
1000 Harrington St, Mount Clemens, Michigan. You can reach out to his office (for appointments etc.) via phone at
(586) 493-8172.
Michael Vantiem is licensed to practice in * (Not Available) (license number ) 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 1558755066.
Physician's Profile
Full Name | Michael Vantiem |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1000 Harrington St, Mount Clemens, 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: 1558755066
- Provider Enumeration Date: 03/23/2015
- Last Update Date: 09/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 0547682080
- Enrollment ID: I20230926001482
Medical Identifiers
Medical identifiers for Michael Vantiem such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558755066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 5101025649 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Michael Vantiem allows following entities to bill medicare on his behalf.
Entity Name | Riverside Physician Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400 |
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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. Michael Vantiem 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 |
Michael Vantiem, DO 1000 Harrington St, Mount Clemens, MI 48043-2920 Ph: () - | Michael Vantiem, DO 1000 Harrington St, Mount Clemens, MI 48043-2920 Ph: (586) 493-8172 |
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