Jerry Bernard Vanleeuwen, PHD in Grand Rapids, MI - Medicare Psychologist Provider

Jerry Bernard Vanleeuwen, PHD is a medicare enrolled "Psychologist" provider in Grand Rapids, Michigan. His current practice location is 6255 28th St Se Ste M, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 458-5294.

Jerry Bernard Vanleeuwen is licensed to practice in Michigan (license number 6301003978) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336340140.

Contact Information

	Jerry Bernard Vanleeuwen, PHD
	6255 28th St Se Ste M, Grand Rapids, MI 49546-6966
	(616) 458-5294
	(616) 458-5295

Map and Direction

Healthcare Provider's Profile

Full Name	Jerry Bernard Vanleeuwen
Gender	Male
Speciality	Psychologist
Location	6255 28th St Se Ste M, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336340140
Provider Enumeration Date: 05/30/2007
Last Update Date: 01/31/2024

Medicare PECOS Information:

PECOS PAC ID: 8325135791
Enrollment ID: I20190530001754

Medical Identifiers

Medical identifiers for Jerry Bernard Vanleeuwen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336340140	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	(* (Not Available))	Secondary
103TF0000X	Psychologist - Family	4101000398 (Michigan)	Secondary
103T00000X	Psychologist	6301003978 (Michigan)	Primary

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. Jerry Bernard Vanleeuwen allows following entities to bill medicare on his behalf.

Entity Name	Jerry B. Van Leeuwen Phd, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497943146 PECOS PAC ID: 7810084290 Enrollment ID: O20071101000201

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. Jerry Bernard Vanleeuwen 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
Jerry Bernard Vanleeuwen, PHD 6255 28th St Se Ste M, Grand Rapids, MI 49546-6966 Ph: (616) 458-5294	Jerry Bernard Vanleeuwen, PHD 6255 28th St Se Ste M, Grand Rapids, MI 49546-6966 Ph: (616) 458-5294

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

Jerry Bernard Vanleeuwen, PHD - Medicare Psychologist in Grand Rapids, MI