Vicky Lynn Norris, DO is a
Emergency Medicine physician based in Grandville, Michigan. Vicky Lynn Norris is licensed to practice in Michigan (license number 5101011342) and her current practice location is 6105 Wilson Ave Sw, Grandville, Michigan. She can be reached at her office (for appointments etc.) via phone at
(616) 391-2778.
NPI number for Vicky Lynn Norris is 1164457917 and her current mailing address is 100 Michigan St Ne, Mc 845, Grand Rapids, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164457917.
Physician's Profile
| Full Name | Vicky Lynn Norris |
|---|
| Gender | Female |
|---|
| Speciality | Emergency Medicine |
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| Location | 6105 Wilson Ave Sw, Grandville, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164457917
- Provider Enumeration Date: 07/11/2006
- Last Update Date: 07/21/2014
Medical Identifiers
Medical identifiers for Vicky Lynn Norris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164457917 | NPI | - | NPPES |
| 11284828 | Other | | CAQH PROVIDER ID |
| 0156910165 | Other | MI | BCBSM |
| 1164457917 | Medicaid | MI | |
| 700C910950 | Other | MI | BCBSM |
| 4606954 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 5101011342 (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. Vicky Lynn Norris is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Vicky Lynn Norris, DO
100 Michigan St Ne, Mc 845,
Grand Rapids, MI 49503-2560
Ph: (616) 391-2778 | Vicky Lynn Norris, DO
6105 Wilson Ave Sw,
Grandville, MI 49418-9714
Ph: (616) 391-2778 |
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