Dr Kimberly Gerisse Vandale, PHD in Mount Clemens, MI - Medicare Clinical Psychologist Provider

Dr Kimberly Gerisse Vandale, PHD is a medicare enrolled "Psychologist" provider in Mount Clemens, Michigan. She went to Wayne State University School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Perceptions Counseling Services, P.c. and her current practice location is 116 Market St, Perceptions Counseling Services, Mount Clemens, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 465-4444.

Dr Kimberly Gerisse Vandale is licensed to practice in Michigan (license number 6301014352) 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 1053633974.

Contact Information

	Dr Kimberly Gerisse Vandale, PHD
	116 Market St, Perceptions Counseling Services, Mount Clemens, MI 48043-5674
	(586) 465-4444
	(586) 783-2761

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kimberly Gerisse Vandale
Gender	Female
Speciality	Clinical Psychologist
Experience	17 Years
Location	116 Market St, Mount Clemens, 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:

Dr Kimberly Gerisse Vandale attended and graduated from Wayne State University School Of Medicine in 2007

NPI Data:

NPI Number: 1053633974
Provider Enumeration Date: 02/19/2010
Last Update Date: 02/09/2011

Medicare PECOS Information:

PECOS PAC ID: 9830343359
Enrollment ID: I20130211000381

Medical Identifiers

Medical identifiers for Dr Kimberly Gerisse Vandale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053633974	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	6301014352 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Perceptions Counseling Services, P.c.	4183633753	2

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. Dr Kimberly Gerisse Vandale allows following entities to bill medicare on her behalf.

Entity Name	Perceptions Counseling Services, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043258734 PECOS PAC ID: 4183633753 Enrollment ID: O20060410000234

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 Kimberly Gerisse Vandale 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 Kimberly Gerisse Vandale, PHD 116 Market St, Perceptions Counseling Services, Mount Clemens, MI 48043-5674 Ph: (586) 465-4444	Dr Kimberly Gerisse Vandale, PHD 116 Market St, Perceptions Counseling Services, Mount Clemens, MI 48043-5674 Ph: (586) 465-4444

Reviews and Comments

Psychologist in Mount Clemens, MI

Dr. David Lawrence Hayter, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 310 Euclid St, Suite 11, Mount Clemens, MI 48043 Phone: 586-770-7887 Fax: 586-468-8037
Mr. John F Pascaretti, MA, LLP, CAADC Psychologist Medicare: Medicare Enrolled Practice Location: 175 N Groesbeck Hwy, Mount Clemens, MI 48043 Phone: 810-241-4699
Dr. James F Zender, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 117 Cass Ave, Ste 204, Mount Clemens, MI 48043 Phone: 586-465-6148 Fax: 586-465-5753
Dr. Melanie May Longworth-beattie, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 116 Market St, Mount Clemens, MI 48043 Phone: 586-465-4444 Fax: 586-783-2761
Samantha Blair Holman, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 85 Macomb Pl, Mount Clemens, MI 48043 Phone: 248-509-0590
Douglas A Geering, MA, LLP Psychologist Medicare: Medicare Enrolled Practice Location: 175 N Groesbeck Hwy, Mount Clemens, MI 48043 Phone: 586-792-5335

Dr Kimberly Gerisse Vandale, PHD - Medicare Psychologist in Mount Clemens, MI