Kaylie Dionne Waters, RN, BSN in Grand Haven, MI

Kaylie Dionne Waters, RN, BSN is a medicare enrolled "Nurse Practitioner" in Grand Haven, Michigan. Her current practice location is 1445 Sheldon Rd, Ste 300, Grand Haven, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 296-1500.

Kaylie Dionne Waters is licensed to practice in Michigan (license number 4704316107) 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 1235707605.

Contact Information

	Kaylie Dionne Waters, RN, BSN
	1445 Sheldon Rd, Ste 300, Grand Haven, MI 49417
	(616) 296-1500
	(616) 296-1502

Map and Direction

Provider's Profile

Full Name	Kaylie Dionne Waters
Gender	Female
Speciality	Nurse Practitioner
Location	1445 Sheldon Rd, Grand Haven, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235707605
Provider Enumeration Date: 06/14/2021
Last Update Date: 11/04/2024

Medicare PECOS Information:

PECOS PAC ID: 0749635548
Enrollment ID: I20231014000215

Medical Identifiers

Medical identifiers for Kaylie Dionne Waters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235707605	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	4704316107 (Michigan)	Secondary
363L00000X	Nurse Practitioner	4704316107 (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. Kaylie Dionne Waters allows following entities to bill medicare on her behalf.

Entity Name	Noch Physician Billing Company Llc
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1972550580 PECOS PAC ID: 8527078583 Enrollment ID: O20140401000168

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. Kaylie Dionne Waters 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
Kaylie Dionne Waters, RN, BSN Po Box 776982, Chicago, IL 60677-6982 Ph: (231) 672-2119	Kaylie Dionne Waters, RN, BSN 1445 Sheldon Rd, Ste 300, Grand Haven, MI 49417 Ph: (616) 296-1500

Reviews and Comments

Nurse Practitioner Nurses in Grand Haven, MI

Mrs. Elizabeth Lynne Cross, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1310 Wisconsin Ave, Suite 100, Grand Haven, MI 49417 Phone: 616-844-4701
Thad Cummings, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: North Ottawa Community Hospital, 1309 Sheldon Rd, Grand Haven, MI 49417 Phone: 616-842-3600
Jennifer Rae Jarrell, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 S Beacon Blvd Ste 240, Grand Haven, MI 49417 Phone: 616-344-1033
Jennifer Ann Hegel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1091 S Beacon Blvd, Grand Haven, MI 49417 Phone: 616-604-0096
Donna Zambetis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1310 Wisconsin Ave, Suite 200, Grand Haven, MI 49417 Phone: 616-846-2640 Fax: 616-846-3110
Patricia Heron, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1091 S Beacon Blvd, Grand Haven, MI 49417 Phone: 616-604-0096
Linda Louise White, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1061 S Beacon Blvd Ste 200, Grand Haven, MI 49417 Phone: 616-846-2015 Fax: 616-846-7227

Kaylie Dionne Waters, RN, BSN - Medicare Nurse Practitioner in Grand Haven, MI