Ms Elyse C Van Ittersum, FNP-C - Medicare Nurse Practitioner in Troy, MI

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Ms Elyse C Van Ittersum, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Troy, Michigan. Her current practice location is 4060 Rochester Rd, Troy, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 250-6420.

Ms Elyse C Van Ittersum is licensed to practice in Michigan (license number 4704341270) 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 1730795485.

Contact Information

Ms Elyse C Van Ittersum, FNP-C
4060 Rochester Rd,
Troy, MI 48085-4923
(248) 250-6420
(248) 250-6430

Map and Direction




Provider's Profile

Full NameMs Elyse C Van Ittersum
GenderFemale
SpecialityNurse Practitioner - Family
Location4060 Rochester Rd, Troy, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730795485
  • Provider Enumeration Date: 09/18/2020
  • Last Update Date: 04/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9335568963
  • Enrollment ID: I20201001001281

Medical Identifiers

Medical identifiers for Ms Elyse C Van Ittersum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730795485NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704341270 (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. Ms Elyse C Van Ittersum allows following entities to bill medicare on her behalf.
Entity NameTaylor Urgent Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013321033
PECOS PAC ID: 2769706381
Enrollment ID: O20150130000264
Entity NameBest Urgent Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952791105
PECOS PAC ID: 4082930722
Enrollment ID: O20150224001082
Entity NameYpsilanti Urgent Care Walk-in Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881048494
PECOS PAC ID: 0244519809
Enrollment ID: O20161122002321
Entity NameCanton Urgent Care Walk-in Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649712480
PECOS PAC ID: 4486934452
Enrollment ID: O20161208001492
Entity NameClinton Urgent Care Walk In Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831610070
PECOS PAC ID: 7719257625
Enrollment ID: O20170726002006
Entity NameShelby Urgent Care Walk-in Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285155119
PECOS PAC ID: 6800155417
Enrollment ID: O20180104001566
Entity NameRochester Urgent Care Walk-in Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225554694
PECOS PAC ID: 4183983380
Enrollment ID: O20180116001545
Entity NameSterling Heights Urgent Care Walk-in Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912413949
PECOS PAC ID: 5092077586
Enrollment ID: O20180321001039
Entity NameTroy Urgent Care Walk In Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720571227
PECOS PAC ID: 5799039061
Enrollment ID: O20181127000377
Entity NameChesterfield Urgent Care Walk-in Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629547195
PECOS PAC ID: 7012253537
Enrollment ID: O20190103002800
Entity NameCommerce Urgent Care Walk-in Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952823825
PECOS PAC ID: 1153663133
Enrollment ID: O20190423000066
Entity NameWellstreet Urgent Care Of Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578048096
PECOS PAC ID: 6305188491
Enrollment ID: O20190610002007
Entity NameDoctors Urgent Care Oakpark Southfield
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083239420
PECOS PAC ID: 9133543135
Enrollment ID: O20200623001665
Entity NameDoctors Urgent Care Southfield
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326660929
PECOS PAC ID: 6406279884
Enrollment ID: O20200701001810
Entity NameHealthfair Plus Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376973461
PECOS PAC ID: 2365668720
Enrollment ID: O20220707000373

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. Ms Elyse C Van Ittersum 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 AddressPractice Location Address
Ms Elyse C Van Ittersum, FNP-C
6058 Hearthside Dr,
Troy, MI 48098-5363

Ph: (248) 765-6535		Ms Elyse C Van Ittersum, FNP-C
4060 Rochester Rd,
Troy, MI 48085-4923

Ph: (248) 250-6420

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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