Katelin Elizabeth Dekker, NP is a medicare enrolled "Nurse Practitioner - Family" in Fennville, Michigan. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Shaena Freeman Md Pllc and her current practice location is
200 N Maple St, Fennville, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 561-8761.
Katelin Elizabeth Dekker is licensed to practice in Michigan (license number 4704293520) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477187813.
Provider's Profile
Full Name | Katelin Elizabeth Dekker |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 5 Years |
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Location | 200 N Maple St, Fennville, Michigan |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Katelin Elizabeth Dekker graduated from nursing school in 2019
NPI Data:
- NPI Number: 1477187813
- Provider Enumeration Date: 02/25/2020
- Last Update Date: 02/25/2020
Medicare PECOS Information:
- PECOS PAC ID: 4981024478
- Enrollment ID: I20201022001851
Medical Identifiers
Medical identifiers for Katelin Elizabeth Dekker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477187813 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 4704293520 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Shaena Freeman Md Pllc | 7315331964 | 2 |
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. Katelin Elizabeth Dekker allows following entities to bill medicare on her behalf.
Entity Name | Ascension Borgess Allegan Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144531252 PECOS PAC ID: 5092750356 Enrollment ID: O20100823000998 |
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Entity Name | Shaena Freeman Md Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760156046 PECOS PAC ID: 7315331964 Enrollment ID: O20220225000509 |
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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. Katelin Elizabeth Dekker 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 |
Katelin Elizabeth Dekker, NP 3321 Heritage S, Hamilton, MI 49419-9600 Ph: (231) 233-1739 | Katelin Elizabeth Dekker, NP 200 N Maple St, Fennville, MI 49408-8478 Ph: (269) 561-8761 |
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