Miss Elizabeth Anne Vantubergen, DDS in South Lyon, MI

Miss Elizabeth Anne Vantubergen, DDS is a medicare enrolled "Dentist" provider in South Lyon, Michigan. Her current practice location is 21800 Pontiac Trail, Ste 100, South Lyon, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 437-8300.

Miss Elizabeth Anne Vantubergen is licensed to practice in Michigan (license number 2901019921) 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 1477787489.

Contact Information

	Miss Elizabeth Anne Vantubergen, DDS
	21800 Pontiac Trail, Ste 100, South Lyon, MI 48178
	(248) 437-8300
	(248) 437-8066

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Elizabeth Anne Vantubergen
Gender	Female
Speciality	Dentist
Location	21800 Pontiac Trail, South Lyon, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477787489
Provider Enumeration Date: 05/05/2009
Last Update Date: 05/05/2009

Medicare PECOS Information:

PECOS PAC ID: 0840506036
Enrollment ID: I20150902002495

Medical Identifiers

Medical identifiers for Miss Elizabeth Anne Vantubergen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477787489	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	2901019921 (Michigan)	Primary

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. Miss Elizabeth Anne Vantubergen 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
Miss Elizabeth Anne Vantubergen, DDS 21800 Pontiac Trail, Ste 100, South Lyon, MI 48178 Ph: (248) 437-8300	Miss Elizabeth Anne Vantubergen, DDS 21800 Pontiac Trail, Ste 100, South Lyon, MI 48178 Ph: (248) 437-8300

Reviews and Comments

Dentist in South Lyon, MI

Dr. Kelly Jim Rigney, DDS Dentist Medicare: Medicare Enrolled Practice Location: 21800 Pontiac Trail, Suuite 100, South Lyon, MI 48178 Phone: 248-437-8300 Fax: 248-437-8066
Chelsey Ann Rakas, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 546 N Lafayette St, South Lyon, MI 48178 Phone: 248-486-1730 Fax: 248-486-9544
Mrs. Therese F Shortt, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12756 Ten Mile Rd, South Lyon, MI 48178 Phone: 248-437-8189 Fax: 248-437-6819
Mr. William A Shortt, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12756 Ten Mile Rd, South Lyon, MI 48178 Phone: 248-437-8189 Fax: 248-437-6819
Doohak Kim, Dentist Medicare: Not Enrolled in Medicare Practice Location: 205 Columbia Dr, South Lyon, MI 48178 Phone: 248-917-2475
Mr. Stephen M Ghezzi, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 26018 Pontiac Trl, South Lyon, MI 48178 Phone: 248-486-4030 Fax: 855-778-2780
Christian J Shortt, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12756 10 Mile Rd, South Lyon, MI 48178 Phone: 248-437-8189

Miss Elizabeth Anne Vantubergen, DDS - Medicare Dentist in South Lyon, MI