Lara Dengerink-vantil, NP in Grand Rapids, MI

Lara Dengerink-vantil, NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Grand Rapids, Michigan. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Saint Marys Health Services and her current practice location is 25 Michigan St Ne Ste 2100, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 391-3777.

Lara Dengerink-vantil is licensed to practice in Michigan (license number 4704302218) 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 1679023501.

Contact Information

	Lara Dengerink-vantil, NP
	25 Michigan St Ne Ste 2100, Grand Rapids, MI 49503-2526
	(616) 391-3777
	Not Available

Map and Direction

Provider's Profile

Full Name	Lara Dengerink-vantil
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	25 Michigan St Ne Ste 2100, Grand Rapids, Michigan
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:

Lara Dengerink-vantil graduated from nursing school in 2017

NPI Data:

NPI Number: 1679023501
Provider Enumeration Date: 10/04/2016
Last Update Date: 10/28/2024

Medicare PECOS Information:

PECOS PAC ID: 3971879875
Enrollment ID: I20171020000961

Medical Identifiers

Medical identifiers for Lara Dengerink-vantil such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679023501	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	4704302218 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Saint Marys Health Services	4981500436	27

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. Lara Dengerink-vantil allows following entities to bill medicare on her behalf.

Entity Name	Advantage Health/saint Mary's Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279

Entity Name	Reliance Community Care Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861045775 PECOS PAC ID: 8921268855 Enrollment ID: O20120329000559

Entity Name	Saint Marys Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063917425 PECOS PAC ID: 4981500436 Enrollment ID: O20180511000758

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. Lara Dengerink-vantil 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
Lara Dengerink-vantil, NP 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () -	Lara Dengerink-vantil, NP 25 Michigan St Ne Ste 2100, Grand Rapids, MI 49503-2526 Ph: (616) 391-3777

Reviews and Comments

Nurse Practitioner Nurses in Grand Rapids, MI

Paul Dieleman, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1131 Ionia Ave Nw, Grand Rapids, MI 49503 Phone: 616-259-7900 Fax: 616-259-7909
Dr. Katherine Pruss, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3201 Burton St Se, Sb 260, Grand Rapids, MI 49546 Phone: 616-526-6808
Vanessa Rae Smitko, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2770 E Beltline Ave Ne, Grand Rapids, MI 49525 Phone: 616-267-8860
Khira Lauren Benson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 Phone: 616-267-9150
Cassandra Cummings, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503 Phone: 616-486-6790
Anne Therese Beauchamp, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1055 Medical Park Dr Se, Grand Rapids, MI 49546 Phone: 616-942-9610
Mary Barr, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546 Phone: 616-391-3759

Lara Dengerink-vantil, NP - Medicare Nurse Practitioner in Grand Rapids, MI