Mark E Devries, PHD in Grand Rapids, MI - Medicare Clinical Psychologist Provider

Mark E Devries, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Grand Rapids, Michigan. He graduated from medical school in 1992 and has 32 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 300 68th St Se, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 455-5000.

Mark E Devries is licensed to practice in Michigan (license number 6301008596) 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 1265476220.

Contact Information

	Mark E Devries, PHD
	300 68th St Se, Grand Rapids, MI 49548-6927
	(616) 455-5000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mark E Devries
Gender	Male
Speciality	Clinical Psychologist
Experience	32 Years
Location	300 68th St 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:

Mark E Devries graduated from medical school in 1992

NPI Data:

NPI Number: 1265476220
Provider Enumeration Date: 06/16/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 5395643332
Enrollment ID: I20031229000588

Medical Identifiers

Medical identifiers for Mark E Devries such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265476220	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	6301008596 (Michigan)	Primary
103G00000X	Clinical Neuropsychologist	6301008596 (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. Mark E Devries 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. Mark E Devries 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
Mark E Devries, PHD 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5000	Mark E Devries, PHD 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5000

Mark E Devries, PHD - Medicare in Grand Rapids, MI