Kelli M Vanoverbeke, NP is a
Nurse Practitioner - Gerontology based in St Clr Shores, Michigan. Kelli M Vanoverbeke is licensed to practice in Michigan (license number 4704165386) and her current practice location is
28963 Little Mack Ave Ste 101, St Clr Shores, Michigan. She can be reached at her office (for appointments etc.) via phone at
(586) 447-0700.
NPI number for Kelli M Vanoverbeke is 1952792640 and her current mailing address is 28963 Little Mack Ave, Ste 101, St Clr Shores, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952792640.
Provider's Profile
Full Name | Kelli M Vanoverbeke |
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Gender | Female |
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Speciality | Nurse Practitioner - Gerontology |
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Location | 28963 Little Mack Ave Ste 101, St Clr Shores, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952792640
- Provider Enumeration Date: 02/17/2015
- Last Update Date: 05/15/2018
Medical Identifiers
Medical identifiers for Kelli M Vanoverbeke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952792640 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LG0600X | Nurse Practitioner - Gerontology | 4704165386 (Michigan) | Primary |
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. Kelli M Vanoverbeke is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelli M Vanoverbeke, NP 28963 Little Mack Ave, Ste 101, St Clr Shores, MI 48081-3017 Ph: (586) 447-0228 | Kelli M Vanoverbeke, NP 28963 Little Mack Ave Ste 101, St Clr Shores, MI 48081 Ph: (586) 447-0700 |
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