Robert J Hiddema, DDS in South Haven, MI - Medicare Dentist Provider

Robert J Hiddema, DDS is a medicare enrolled "Dentist" provider in South Haven, Michigan. His current practice location is 555 Broadway, South Haven, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 323-2889.

Robert J Hiddema is licensed to practice in Michigan (license number 2901012500) 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 1588748198.

Contact Information

	Robert J Hiddema, DDS
	555 Broadway, South Haven, MI 49090
	(269) 323-2889
	(269) 639-1264

Map and Direction

Healthcare Provider's Profile

Full Name	Robert J Hiddema
Gender	Male
Speciality	Dentist
Location	555 Broadway, South Haven, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588748198
Provider Enumeration Date: 10/24/2006
Last Update Date: 12/29/2009

Medicare PECOS Information:

PECOS PAC ID: 7810116316
Enrollment ID: I20140916000749

Medical Identifiers

Medical identifiers for Robert J Hiddema such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588748198	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	2901012500 (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. Robert J Hiddema allows following entities to bill medicare on his behalf.

Entity Name	Intercare Community Health Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326058512 PECOS PAC ID: 9537061254 Enrollment ID: O20040223000150

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. Robert J Hiddema 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
Robert J Hiddema, DDS 555 Broadway, South Haven, MI 49090 Ph: (269) 323-2889	Robert J Hiddema, DDS 555 Broadway, South Haven, MI 49090 Ph: (269) 323-2889

Reviews and Comments

Dentist in South Haven, MI

Dr. John W Baker, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1360 Summerwood Dr, South Haven, MI 49090 Phone: 269-637-6012 Fax: 269-637-9082
Dr. Douglas James Brown, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 151 Dunkley Ave # 56, South Haven, MI 49090 Phone: 630-863-2991
Norman M Maly, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 05055 Blue Star Hwy, South Haven, MI 49090 Phone: 269-637-2603 Fax: 269-639-7613
Jeffrey L Hollis, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11282 M 140, South Haven, MI 49090 Phone: 269-637-8611 Fax: 269-637-8956
Dr. Verne E Ticknor, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 900 S Bailey Ave, South Haven, MI 49090 Phone: 269-637-1281 Fax: 269-639-1440
Dr. Frederick James Leavitt, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1088 S Bailey Ave, South Haven, MI 49090 Phone: 269-637-1306 Fax: 269-637-8250

Robert J Hiddema, DDS - Medicare Dentist in South Haven, MI