Dr Andrea Susan Vivian, DDS, RPH is a medicare enrolled "Dentist" provider in Plymouth, Michigan. Her current practice location is
50475 Fellows Hill Dr, Plymouth, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 453-7948.
Dr Andrea Susan Vivian is licensed to practice in Michigan (license number 2901014159) 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 1447263181.
Healthcare Provider's Profile
Full Name | Dr Andrea Susan Vivian |
---|
Gender | Female |
---|
Speciality | Dentist |
---|
Location | 50475 Fellows Hill Dr, Plymouth, Michigan |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1447263181
- Provider Enumeration Date: 08/14/2006
- Last Update Date: 07/23/2016
Medicare PECOS Information:
- PECOS PAC ID: 4880987874
- Enrollment ID: I20160728001544
Medical Identifiers
Medical identifiers for Dr Andrea Susan Vivian such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447263181 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 5302022074 (Michigan) | Secondary |
122300000X | Dentist | 2901014159 (Michigan) | Primary |
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 Andrea Susan Vivian 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 Andrea Susan Vivian, DDS, RPH 50475 Fellows Hill Dr, Plymouth, MI 48170-6351 Ph: (734) 453-7948 | Dr Andrea Susan Vivian, DDS, RPH 50475 Fellows Hill Dr, Plymouth, MI 48170-6351 Ph: (734) 453-7948 |
Reviews and Comments