Sally Vellenga, in Richland, MI - Medicare Nurse Practitioner

Sally Vellenga, is a medicare enrolled "Nurse Practitioner" in Richland, Michigan. Her current practice location is 8450 N 32nd St, Richland, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 226-2500.

Sally Vellenga is licensed to practice in Michigan (license number 4704118351) 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 1780794826.

Contact Information

	Sally Vellenga,
	8450 N 32nd St, Richland, MI 49083-9418
	(269) 226-2500
	Not Available

Map and Direction

Provider's Profile

Full Name	Sally Vellenga
Gender	Female
Speciality	Nurse Practitioner
Location	8450 N 32nd St, Richland, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780794826
Provider Enumeration Date: 08/30/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3375694912
Enrollment ID: I20090622000605

Medical Identifiers

Medical identifiers for Sally Vellenga such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780794826	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704118351 (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. Sally Vellenga allows following entities to bill medicare on her behalf.

Entity Name	Ascension Medical Group Promed
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497709869 PECOS PAC ID: 7315856077 Enrollment ID: O20031216000478

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. Sally Vellenga 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
Sally Vellenga, 5943 Stadium Dr, Suite 3, Kalamazoo, MI 49009-3016 Ph: () -	Sally Vellenga, 8450 N 32nd St, Richland, MI 49083-9418 Ph: (269) 226-2500

Reviews and Comments

Nurse Practitioner Nurses in Richland, MI

Emily E Derhammer, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8450 N 32nd St, Richland, MI 49083 Phone: 269-532-6722
Sandra Dejong, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8906 M 89, Richland, MI 49083 Phone: 269-286-7130 Fax: 269-286-7131
Heather Nicole Merveldt, FNP-BC, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8450 N 32nd St, Richland, MI 49083 Phone: 269-552-2500
Sharon Hanley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8906 M 89, Richland, MI 49083 Phone: 269-286-7130 Fax: 269-286-7131
Cheryl Czerney, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9979 Wildwood Dr, Richland, MI 49083 Phone: 269-629-9808
Heather A Prusi-wilson, MSN, FNP-BC, IBCLC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8450 N 32nd St, Richland, MI 49083 Phone: 269-552-2500

Sally Vellenga, - Medicare Nurse Practitioner in Richland, MI