Dr Sarah Ann Vandyke-velasquez, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Grand Rapids, Michigan. She graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Spectrum Health Primary Care Partners and her current practice location is
2750 E Beltline Ave Ne, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 267-7104.
Dr Sarah Ann Vandyke-velasquez is licensed to practice in Michigan (license number 6301014869) 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 1356787345.
Healthcare Provider's Profile
| Full Name | Dr Sarah Ann Vandyke-velasquez |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 13 Years |
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| Location | 2750 E Beltline Ave Ne, Grand Rapids, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Sarah Ann Vandyke-velasquez graduated from medical school in 2011
NPI Data:
- NPI Number: 1356787345
- Provider Enumeration Date: 05/16/2013
- Last Update Date: 03/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 3274767637
- Enrollment ID: I20131018000364
Medical Identifiers
Medical identifiers for Dr Sarah Ann Vandyke-velasquez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1356787345 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 6301014869 (Michigan) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 6301014869 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Spectrum Health Primary Care Partners | 4587568647 | 1590 |
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 Sarah Ann Vandyke-velasquez allows following entities to bill medicare on her behalf.
| Entity Name | Spectrum Health Primary Care Partners |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235188673
PECOS PAC ID: 4587568647
Enrollment ID: O20031121000091 |
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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 Sarah Ann Vandyke-velasquez 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 |
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Dr Sarah Ann Vandyke-velasquez, PHD
100 Michigan St Ne, Mc845,
Grand Rapids, MI 49503-2560
Ph: () - | Dr Sarah Ann Vandyke-velasquez, PHD
2750 E Beltline Ave Ne,
Grand Rapids, MI 49525-8614
Ph: (616) 267-7104 |
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