Debra Sue Degram, CNM is a medicare enrolled "Advanced Practice Midwife" in Holland, Michigan. Her current practice location is
664 Michigan Ave, Holland, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 392-5973.
Debra Sue Degram is licensed to practice in Michigan (license number 4704132616) 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 1346331139.
Provider's Profile
| Full Name | Debra Sue Degram |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 664 Michigan Ave, Holland, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1346331139
- Provider Enumeration Date: 09/27/2006
- Last Update Date: 02/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 8527067230
- Enrollment ID: I20061206000543
Medical Identifiers
Medical identifiers for Debra Sue Degram such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346331139 | NPI | - | NPPES |
| 0876976 | Other | MI | BCBSM IND. PIN |
| 420G012010 | Other | MI | BCBSM GRP PIN |
| DF4619 | Other | MI | MEDICARE RR GRP PIN |
| 0G01201 | Other | MI | MEDICARE GRP PIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | 4704132616 (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. Debra Sue Degram allows following entities to bill medicare on her behalf.
| Entity Name | Obgyn Associates Of Holland, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003988460
PECOS PAC ID: 7214941244
Enrollment ID: O20060202000678 |
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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. Debra Sue Degram 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 |
|---|
Debra Sue Degram, CNM
664 Michigan Ave,
Holland, MI 49423-4944
Ph: (616) 392-5973 | Debra Sue Degram, CNM
664 Michigan Ave,
Holland, MI 49423-4944
Ph: (616) 392-5973 |
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