Dr Randall Lee Herrema, PSYD in Grand Rapids, MI - Medicare Clinical Psychologist Provider

Dr Randall Lee Herrema, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Grand Rapids, Michigan. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Centennial Park Counseling Pllc and his current practice location is 3501 Lake Eastbrook Blvd Se, Suite 280, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 942-7331.

Dr Randall Lee Herrema is licensed to practice in Michigan (license number 6301003721) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063569150.

Contact Information

	Dr Randall Lee Herrema, PSYD
	3501 Lake Eastbrook Blvd Se, Suite 280, Grand Rapids, MI 49546-5938
	(616) 942-7331
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Randall Lee Herrema
Gender	Male
Speciality	Clinical Psychologist
Experience	38 Years
Location	3501 Lake Eastbrook Blvd Se, Grand Rapids, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Randall Lee Herrema graduated from medical school in 1986

NPI Data:

NPI Number: 1063569150
Provider Enumeration Date: 01/04/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9335296730
Enrollment ID: I20090421000508

Medical Identifiers

Medical identifiers for Dr Randall Lee Herrema such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063569150	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6301003721 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Centennial Park Counseling Pllc	7517340557	4

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 Randall Lee Herrema allows following entities to bill medicare on his behalf.

Entity Name	Centennial Park Counseling Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689814469 PECOS PAC ID: 7517340557 Enrollment ID: O20220824000337

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 Randall Lee Herrema 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 Randall Lee Herrema, PSYD 3501 Lake Eastbrook Blvd Se, Suite 280, Grand Rapids, MI 49546 Ph: (616) 942-7331	Dr Randall Lee Herrema, PSYD 3501 Lake Eastbrook Blvd Se, Suite 280, Grand Rapids, MI 49546-5938 Ph: (616) 942-7331

Reviews and Comments

Psychologist in Grand Rapids, MI

Dynetta Clark, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 805 Leonard St Ne, Grand Rapids, MI 49503 Phone: 616-451-2021 Fax: 616-774-1001
Mrs. Amy E Pugh, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503 Phone: 616-267-2830 Fax: 616-267-9024
Meghan Cytacki-lewis, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 333 Bridge St Nw Ste 1120, Grand Rapids, MI 49504 Phone: 616-805-3660
Michelle Marie Muenzenmeyer, LLP, CHMC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2020 Raybrook St Se Ste 102-1, Grand Rapids, MI 49546 Phone: 616-795-0900 Fax: 616-795-0899
Jehricole Olenzuk, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 829 Forest Hill Ave Se, Grand Rapids, MI 49546 Phone: 616-949-2410
Adrian Hernandez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 360 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49506 Phone: 616-805-3660
Marcia Hollingsworth, EDD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1870 Leonard Ne, Grand Rapids, MI 49505 Phone: 616-956-1122 Fax: 616-956-8033

Dr Randall Lee Herrema, PSYD - Medicare Psychologist in Grand Rapids, MI