Elise J Piersma, is a medicare enrolled "Social Worker - Clinical" provider in Grand Rapids, Michigan. Her current practice location is
360 E Beltline Ave Ne Ste 100, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 805-3660.
Elise J Piersma is licensed to practice in Michigan (license number 6801119548) 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 1912791021.
Healthcare Provider's Profile
| Full Name | Elise J Piersma |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 360 E Beltline Ave Ne Ste 100, Grand Rapids, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1912791021
- Provider Enumeration Date: 04/05/2025
- Last Update Date: 04/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 3577080910
- Enrollment ID: I20250508001400
Medical Identifiers
Medical identifiers for Elise J Piersma such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912791021 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801119548 (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. Elise J Piersma allows following entities to bill medicare on her behalf.
| Entity Name | Counseling Center Of West Michigan Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437610730
PECOS PAC ID: 9234469255
Enrollment ID: O20190918000332 |
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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. Elise J Piersma 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 |
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Elise J Piersma,
864 4 Mile Rd Ne,
Grand Rapids, MI 49525-2688
Ph: (616) 916-6942 | Elise J Piersma,
360 E Beltline Ave Ne Ste 100,
Grand Rapids, MI 49506-1214
Ph: (616) 805-3660 |
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