Jordan Charles Engelhard, DLLP in Spring Lake, MI - Medicare Clinical Psychologist Provider

Jordan Charles Engelhard, DLLP is a medicare enrolled "Psychologist" provider in Spring Lake, Michigan. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Pine Rest Christian Mental Health Services and his current practice location is 17325 Van Wagoner Rd, Spring Lake, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 847-5145.

Jordan Charles Engelhard is licensed to practice in Michigan (license number 6301015358) 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 1508119892.

Contact Information

	Jordan Charles Engelhard, DLLP
	17325 Van Wagoner Rd, Spring Lake, MI 49456-9702
	(616) 847-5145
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jordan Charles Engelhard
Gender	Male
Speciality	Clinical Psychologist
Experience	12 Years
Location	17325 Van Wagoner Rd, Spring Lake, 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:

Jordan Charles Engelhard graduated from medical school in 2012

NPI Data:

NPI Number: 1508119892
Provider Enumeration Date: 10/24/2012
Last Update Date: 10/24/2012

Medicare PECOS Information:

PECOS PAC ID: 1355568304
Enrollment ID: I20140814001585

Medical Identifiers

Medical identifiers for Jordan Charles Engelhard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508119892	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	6301015358 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pine Rest Christian Mental Health Services	4981506508	314

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. Jordan Charles Engelhard allows following entities to bill medicare on his behalf.

Entity Name	Pine Rest Christian Mental Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780695411 PECOS PAC ID: 4981506508 Enrollment ID: O20040213000149

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. Jordan Charles Engelhard 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
Jordan Charles Engelhard, DLLP 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5000	Jordan Charles Engelhard, DLLP 17325 Van Wagoner Rd, Spring Lake, MI 49456-9702 Ph: (616) 847-5145

Reviews and Comments

Psychologist in Spring Lake, MI

Susan Brenner, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 622 E Savidge St, Spring Lake, MI 49456 Phone: 616-607-9187
Amanda Ludlow, LPC Psychologist Medicare: Medicare Enrolled Practice Location: 17325 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 616-847-5145
Mark B Mahacek, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 19100 N Fruitport Rd, Spring Lake, MI 49456 Phone: 616-842-2125
Dr. Douglas Moorhead, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 17224 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 616-296-2130
Dawn M Carlen, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17224 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 616-510-9229
Joseph J Auffrey, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 19100 N Fruitport Rd, Spring Lake, MI 49456 Phone: 616-842-2125 Fax: 616-842-2563

Jordan Charles Engelhard, DLLP - Medicare Psychologist in Spring Lake, MI