Adam Edmund Tibble, NP in Grand Rapids, MI - Medicare Nurse Practitioner

Adam Edmund Tibble, NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Grand Rapids, Michigan. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Spectrum Health Primary Care Partners and his current practice location is 145 Michigan St Ne Ste 3410, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 391-9945.

Adam Edmund Tibble is licensed to practice in Michigan (license number 4704316277) 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 1184265282.

Contact Information

	Adam Edmund Tibble, NP
	145 Michigan St Ne Ste 3410, Grand Rapids, MI 49503-2563
	(616) 391-9945
	Not Available

Map and Direction

Provider's Profile

Full Name	Adam Edmund Tibble
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	145 Michigan St Ne Ste 3410, Grand Rapids, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Adam Edmund Tibble graduated from nursing school in 2019

NPI Data:

NPI Number: 1184265282
Provider Enumeration Date: 10/01/2019
Last Update Date: 09/10/2021

Medicare PECOS Information:

PECOS PAC ID: 3375951205
Enrollment ID: I20210414001489

Medical Identifiers

Medical identifiers for Adam Edmund Tibble such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184265282	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	4704316277 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Spectrum Health	Grand rapids, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Spectrum Health Primary Care Partners	4587568647	1590

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. Adam Edmund Tibble allows following entities to bill medicare on his behalf.

Entity Name	Spectrum Health Primary Care Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091

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. Adam Edmund Tibble 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
Adam Edmund Tibble, NP 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () -	Adam Edmund Tibble, NP 145 Michigan St Ne Ste 3410, Grand Rapids, MI 49503-2563 Ph: (616) 391-9945

Reviews and Comments

Nurse Practitioner Nurses in Grand Rapids, MI

Paul Dieleman, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1131 Ionia Ave Nw, Grand Rapids, MI 49503 Phone: 616-259-7900 Fax: 616-259-7909
Dr. Katherine Pruss, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3201 Burton St Se, Sb 260, Grand Rapids, MI 49546 Phone: 616-526-6808
Vanessa Rae Smitko, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2770 E Beltline Ave Ne, Grand Rapids, MI 49525 Phone: 616-267-8860
Khira Lauren Benson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 Phone: 616-267-9150
Cassandra Cummings, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503 Phone: 616-486-6790
Anne Therese Beauchamp, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1055 Medical Park Dr Se, Grand Rapids, MI 49546 Phone: 616-942-9610
Mary Barr, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546 Phone: 616-391-3759

Adam Edmund Tibble, NP - Medicare Nurse Practitioner in Grand Rapids, MI