Michael Dean Tanis, FNP is a medicare enrolled "Nurse Practitioner - Family" in Newaygo, Michigan. His current practice location is
211 W Pine Lake Dr, Newaygo, Michigan. You can reach out to his office (for appointments etc.) via phone at
(231) 652-1631.
Michael Dean Tanis is licensed to practice in Michigan (license number 4704123034) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1427155308.
Provider's Profile
Full Name | Michael Dean Tanis |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 211 W Pine Lake Dr, Newaygo, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427155308
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 03/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 9537197835
- Enrollment ID: I20050728000550
Medical Identifiers
Medical identifiers for Michael Dean Tanis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427155308 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 4704123034 (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. Michael Dean Tanis allows following entities to bill medicare on his behalf.
Entity Name | Spectrum Health Primary Care Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
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Entity Name | Pere Marquette Emergency Physicians Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447284112 PECOS PAC ID: 1052356094 Enrollment ID: O20050621000913 |
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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. Michael Dean Tanis 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 |
Michael Dean Tanis, FNP 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: (616) 486-6790 | Michael Dean Tanis, FNP 211 W Pine Lake Dr, Newaygo, MI 49337-8029 Ph: (231) 652-1631 |
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