Sean S Vanderwaal, in Ann Arbor, MI - Medicare Nurse Anesthetist, Certified Registered

Sean S Vanderwaal, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ann Arbor, Michigan. His current practice location is 2006 Hogback Rd Ste 5a, Ann Arbor, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 263-2417.

Sean S Vanderwaal is licensed to practice in Michigan (license number 4704327749) 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 1932744091.

Contact Information

	Sean S Vanderwaal,
	2006 Hogback Rd Ste 5a, Ann Arbor, MI 48105-9750
	(734) 263-2417
	Not Available

Map and Direction

Provider's Profile

Full Name	Sean S Vanderwaal
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	2006 Hogback Rd Ste 5a, Ann Arbor, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932744091
Provider Enumeration Date: 11/13/2019
Last Update Date: 01/23/2025

Medicare PECOS Information:

PECOS PAC ID: 6800273426
Enrollment ID: I20220519000729

Medical Identifiers

Medical identifiers for Sean S Vanderwaal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932744091	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4704327749 (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. Sean S Vanderwaal allows following entities to bill medicare on his behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871666479 PECOS PAC ID: 0547178311 Enrollment ID: O20040124000368

Entity Name	Northstar Anesthesia Of Michigan Iii Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990

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. Sean S Vanderwaal 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
Sean S Vanderwaal, 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: (313) 874-4806	Sean S Vanderwaal, 2006 Hogback Rd Ste 5a, Ann Arbor, MI 48105-9750 Ph: (734) 263-2417

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Ann Arbor, MI

Denise Lynn Berry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Ashley Marie Dibardino, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Terrance Solan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Paula K Globerson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1500 East Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4280
Lawrence R Stump, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4280
Mary Catherine Downey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Renee Ann Shea, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Drive, 1h247 University Hospital, Ann Arbor, MI 48109 Phone: 734-936-4280

Sean S Vanderwaal, - Medicare Nurse Anesthetist, Certified Registered in Ann Arbor, MI