Dr Rachel Anne Prudhomme, DNP, PMHNP-BC in Grand Rapids, MI

Dr Rachel Anne Prudhomme, DNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Grand Rapids, Michigan. Her current practice location is 2730 5 Mile Rd Ne, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 426-9401.

Dr Rachel Anne Prudhomme is licensed to practice in Michigan (license number 4704309686) 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 1487045753.

Contact Information

	Dr Rachel Anne Prudhomme, DNP, PMHNP-BC
	2730 5 Mile Rd Ne, Grand Rapids, MI 49525-6518
	(616) 426-9401
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Rachel Anne Prudhomme
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2730 5 Mile Rd Ne, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487045753
Provider Enumeration Date: 02/09/2015
Last Update Date: 11/10/2022

Medicare PECOS Information:

PECOS PAC ID: 9830565290
Enrollment ID: I20221026002268

Medical Identifiers

Medical identifiers for Dr Rachel Anne Prudhomme such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487045753	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	4704309686 (Michigan)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	4704309686 (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. Dr Rachel Anne Prudhomme allows following entities to bill medicare on her behalf.

Entity Name	Physician Universe Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023435856 PECOS PAC ID: 1850516758 Enrollment ID: O20140709001899

Entity Name	Eagle Village Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710351598 PECOS PAC ID: 3971976275 Enrollment ID: O20230308000326

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. Dr Rachel Anne Prudhomme 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
Dr Rachel Anne Prudhomme, DNP, PMHNP-BC 22234 220th Ave, Paris, MI 49338-9455 Ph: (231) 742-0117	Dr Rachel Anne Prudhomme, DNP, PMHNP-BC 2730 5 Mile Rd Ne, Grand Rapids, MI 49525-6518 Ph: (616) 426-9401

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

Dr Rachel Anne Prudhomme, DNP, PMHNP-BC - Medicare Nurse Practitioner in Grand Rapids, MI