Paul Dieleman, PMHNP-BC in Grand Rapids, MI - Medicare Nurse Practitioner

Paul Dieleman, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Grand Rapids, Michigan. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Advantage Health/saint Mary's Medical Group and his current practice location is 1131 Ionia Ave Nw, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 259-7900.

Paul Dieleman is licensed to practice in Michigan (license number 4704247208) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003263450.

Contact Information

	Paul Dieleman, PMHNP-BC
	1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020
	(616) 259-7900
	(616) 259-7909

Map and Direction

Provider's Profile

Full Name	Paul Dieleman
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	1131 Ionia Ave Nw, Grand Rapids, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Paul Dieleman graduated from nursing school in 2018

NPI Data:

NPI Number: 1003263450
Provider Enumeration Date: 05/16/2016
Last Update Date: 11/19/2018

Medicare PECOS Information:

PECOS PAC ID: 0446504922
Enrollment ID: I20181120001056

Medical Identifiers

Medical identifiers for Paul Dieleman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003263450	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	4704247208 (Michigan)	Primary
163W00000X	Registered Nurse	4704247208 (Michigan)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Health Saint Mary's	Grand rapids, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advantage Health/saint Mary's Medical Group	4082807961	386

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. Paul Dieleman allows following entities to bill medicare on his 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

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. Paul Dieleman 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
Paul Dieleman, PMHNP-BC 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 Ph: (616) 259-7900	Paul Dieleman, PMHNP-BC 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 Ph: (616) 259-7900

Reviews and Comments

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Paul Dieleman, PMHNP-BC - Medicare Nurse Practitioner in Grand Rapids, MI