Mrs Jami Michelle Petersen, MA, CCC-SLP in Zeeland, MI - Medicare Speech-Language Pathologist Provider

Mrs Jami Michelle Petersen, MA, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Zeeland, Michigan. Her current practice location is 400 S State St Ste 100, Zeeland, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 772-1370.

Mrs Jami Michelle Petersen is licensed to practice in Michigan (license number 7101003964) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104498278.

Contact Information

	Mrs Jami Michelle Petersen, MA, CCC-SLP
	400 S State St Ste 100, Zeeland, MI 49464-2067
	(616) 772-1370
	(616) 772-9774

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jami Michelle Petersen
Gender	Female
Speciality	Speech-language Pathologist
Location	400 S State St Ste 100, Zeeland, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104498278
Provider Enumeration Date: 07/16/2021
Last Update Date: 07/16/2021

Medicare PECOS Information:

PECOS PAC ID: 8123480373
Enrollment ID: I20230821000259

Medical Identifiers

Medical identifiers for Mrs Jami Michelle Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104498278	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	7101003964 (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. Mrs Jami Michelle Petersen allows following entities to bill medicare on her behalf.

Provider Name	Spectrum Health Primary Care Partners
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20040115000586

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. Mrs Jami Michelle Petersen 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
Mrs Jami Michelle Petersen, MA, CCC-SLP 400 S State St Ste 100, Zeeland, MI 49464-2067 Ph: (616) 772-1370	Mrs Jami Michelle Petersen, MA, CCC-SLP 400 S State St Ste 100, Zeeland, MI 49464-2067 Ph: (616) 772-1370

Reviews and Comments

Speech-Language Pathologist in Zeeland, MI

Michelle Konynenbelt, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8900 Mica Dr, Zeeland, MI 49464 Phone: 616-405-6653
Lakeshore Speech Services, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8900 Mica Dr, Zeeland, MI 49464 Phone: 616-405-6653
Martha Veldkamp, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8333 Felch St, Zeeland, MI 49464 Phone: 616-772-4644
Josilyn Vandewaa, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 320 E Central Ave, Zeeland, MI 49464 Phone: 616-772-9191
Kristen Van De Riet, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10263 Chicago Dr, Zeeland, MI 49464 Phone: 616-422-0922
Derek James Knoth, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 320 E Central Ave, Zeeland, MI 49464 Phone: 616-772-9191

Mrs Jami Michelle Petersen, MA, CCC-SLP - Medicare Speech-Language Pathologist in Zeeland, MI