Dr Luke Vander Wal, PSYD in Grandville, MI - Medicare Psychologist Provider

Dr Luke Vander Wal, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Grandville, Michigan. His current practice location is 4211 Parkway Place Dr Sw, Grandville, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 222-3700.

Dr Luke Vander Wal is licensed to practice in Michigan (license number 6301019396) 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 1467075176.

Contact Information

	Dr Luke Vander Wal, PSYD
	4211 Parkway Place Dr Sw, Grandville, MI 49418-2695
	(616) 222-3700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Luke Vander Wal
Gender	Male
Speciality	Psychologist - Clinical
Location	4211 Parkway Place Dr Sw, Grandville, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467075176
Provider Enumeration Date: 05/28/2020
Last Update Date: 10/31/2023

Medicare PECOS Information:

PECOS PAC ID: 1951757525
Enrollment ID: I20231102001863

Medical Identifiers

Medical identifiers for Dr Luke Vander Wal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467075176	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6301019396 (Michigan)	Primary
103TC0700X	Psychologist - Clinical	6351004490 (Michigan)	Secondary

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 Luke Vander Wal 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. Dr Luke Vander Wal 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 Luke Vander Wal, PSYD 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: () -	Dr Luke Vander Wal, PSYD 4211 Parkway Place Dr Sw, Grandville, MI 49418-2695 Ph: (616) 222-3700

Reviews and Comments

Psychologist in Grandville, MI

Dr. Trisha Nichole Tanis, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4565 Wilson Ave Sw Ste 4a, Grandville, MI 49418 Phone: 616-591-9400
Maha Baalbaki, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4565 Wilson Ave Sw Ste 4a, Grandville, MI 49418 Phone: 616-591-9400
Jamie Leigh Wieber, PH.D., LLP Psychologist Medicare: Medicare Enrolled Practice Location: 4211 Parkway Place, Grandville, MI 49418 Phone: 616-222-3700
Kristin M Mecklenburg, MA LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4175 Parkway Place Dr Sw Ste 100, Grandville, MI 49418 Phone: 616-371-5166
Mr. Tommie Earl Johnson, LLMSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3584 Fairlanes Ave Sw Ste 2, Grandville, MI 49418 Phone: 616-222-5300 Fax: 616-531-0447
Dr. Abraham Bilyeu, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 4565 Wilson Ave Sw, Grandville, MI 49418 Phone: 616-528-0354
Ms. Valerie D Stevenson, MA, TLLP, LLC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3584 Fairlanes Ave Sw Ste 2, Grandville, MI 49418 Phone: 616-298-3472

Dr Luke Vander Wal, PSYD - Medicare Psychologist in Grandville, MI