Nicole Dehaan, MSPT, PT in Grand Rapids, MI - Medicare Physical Therapy Provider

Nicole Dehaan, MSPT, PT is a medicare enrolled "Physical Therapist" provider in Grand Rapids, Michigan. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Ivyrehab Michigan Llc and her current practice location is 235 Wealthy St Se, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 840-8684.

Nicole Dehaan is licensed to practice in Michigan (license number 5501012423) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346742970.

Contact Information

	Nicole Dehaan, MSPT, PT
	235 Wealthy St Se, Grand Rapids, MI 49503
	(616) 840-8684
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Dehaan
Gender	Female
Speciality	Physical Therapy
Experience	19 Years
Location	235 Wealthy St Se, Grand Rapids, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicole Dehaan graduated from medical school in 2005

NPI Data:

NPI Number: 1346742970
Provider Enumeration Date: 02/28/2018
Last Update Date: 12/24/2020

Medicare PECOS Information:

PECOS PAC ID: 7517370133
Enrollment ID: I20201228002034

Medical Identifiers

Medical identifiers for Nicole Dehaan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346742970	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501012423 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ivyrehab Michigan Llc	6901165893	95

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. Nicole Dehaan allows following entities to bill medicare on her behalf.

Provider Name	Ivyrehab Michigan Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245

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. Nicole Dehaan 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
Nicole Dehaan, MSPT, PT 1377 Motor Pkwy, Ste 307, Islandia, NY 11749-5258 Ph: (914) 294-4050	Nicole Dehaan, MSPT, PT 235 Wealthy St Se, Grand Rapids, MI 49503 Ph: (616) 840-8684

Reviews and Comments

Physical Therapist in Grand Rapids, MI

Ms. Silpa Parupalli, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6252 Architrave St Se, Grand Rapids, MI 49546 Phone: 616-446-1374 Fax: 616-956-0059
Ryan Sanders Gary, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1331 Lake Dr Se, Suite 105, Grand Rapids, MI 49506 Phone: 616-248-9842 Fax: 616-248-9848
Samantha Michelle Flietstra, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2161 Leonard St Nw, Grand Rapids, MI 49504 Phone: 616-453-7715
Jennifer Lynne Taylor, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Wealthy St Se, Grand Rapids, MI 49503 Phone: 616-262-0299
Katharine Lind Thompson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-685-6264
Dr. Lindsey Danielle Conrado, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 161-639-1177
Lauren Mallory, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Wealthy St Se, Grand Rapids, MI 49503 Phone: 616-840-8000

Nicole Dehaan, MSPT, PT - Medicare Physical Therapist in Grand Rapids, MI