Carly N Molenkamp, in Hudsonville, MI - Medicare Nurse Practitioner

Carly N Molenkamp, is a medicare enrolled "Nurse Practitioner - Family" in Hudsonville, Michigan. Her current practice location is 3165 24th Ave, Hudsonville, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 896-8382.

Carly N Molenkamp is licensed to practice in Michigan (license number 4704314132) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245824556.

Contact Information

	Carly N Molenkamp,
	3165 24th Ave, Hudsonville, MI 49426-9656
	(616) 896-8382
	Not Available

Map and Direction

Provider's Profile

Full Name	Carly N Molenkamp
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3165 24th Ave, Hudsonville, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245824556
Provider Enumeration Date: 02/26/2021
Last Update Date: 06/30/2021

Medicare PECOS Information:

PECOS PAC ID: 2163800327
Enrollment ID: I20220601000562

Medical Identifiers

Medical identifiers for Carly N Molenkamp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245824556	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704314132 (Michigan)	Primary
163W00000X	Registered Nurse	4704314132 (Michigan)	Secondary

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. Carly N Molenkamp allows following entities to bill medicare on her behalf.

Entity Name	David Charles Tattan
Entity Type	Practitioner - General Practice
Entity Identifiers	NPI Number: 1992751887 PECOS PAC ID: 7719986108 Enrollment ID: I20061213000012

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. Carly N Molenkamp 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
Carly N Molenkamp, 6527 Madison Ave Se, Grand Rapids, MI 49548-6984 Ph: (616) 551-9885	Carly N Molenkamp, 3165 24th Ave, Hudsonville, MI 49426-9656 Ph: (616) 896-8382

Reviews and Comments

Nurse Practitioner Nurses in Hudsonville, MI

Jordan Elizabeth Knot, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3912 32nd Ave, Hudsonville, MI 49426 Phone: 616-252-8700
Meagan Elizabeth Bender, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4075 32nd Ave, Hudsonville, MI 49426 Phone: 616-486-6100
Anna Spoelhof, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4700 32nd Ave, Hudsonville, MI 49426 Phone: 616-662-2011
Nicole Flory Sansom, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3545 Aiden Ct, Hudsonville, MI 49426 Phone: 616-780-3850
Erin Heeringa, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3152 Port Sheldon St, Suite C, Hudsonville, MI 49426 Phone: 616-669-9238 Fax: 616-669-8296
Lindsey Marie Devaney, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3912 32nd Ave, Hudsonville, MI 49426 Phone: 616-252-8700

Carly N Molenkamp, - Medicare Nurse Practitioner in Hudsonville, MI