Dale Alan Wiersma, MD is a medicare enrolled "Internal Medicine" physician in Fremont, Michigan. He went to University Of Wisconsin School Of Medicine and graduated in 1986 and has 39 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Spectrum Health Primary Care Partners and his current practice location is
212 S Sullivan Ave, Fremont, Michigan. You can reach out to his office (for appointments etc.) via phone at
(616) 391-3139.
Dale Alan Wiersma is licensed to practice in Michigan (license number 4301056205) 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 1639126832.
Physician's Profile
| Full Name | Dale Alan Wiersma |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 39 Years |
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| Location | 212 S Sullivan Ave, Fremont, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dale Alan Wiersma attended and graduated from University Of Wisconsin School Of Medicine in 1986
NPI Data:
- NPI Number: 1639126832
- Provider Enumeration Date: 05/31/2006
- Last Update Date: 02/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 8022913656
- Enrollment ID: I20100527000622
Medical Identifiers
Medical identifiers for Dale Alan Wiersma such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639126832 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 4301056205 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Spectrum Health Primary Care Partners | 4587568647 | 1735 |
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. Dale Alan Wiersma allows following entities to bill medicare on his behalf.
| Entity Name | Spectrum Health Primary Care Partners |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235188673
PECOS PAC ID: 4587568647
Enrollment ID: O20031121000091 |
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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. Dale Alan Wiersma 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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Dale Alan Wiersma, MD
100 Michigan St Ne, Mc845,
Grand Rapids, MI 49503-2560
Ph: () - | Dale Alan Wiersma, MD
212 S Sullivan Ave,
Fremont, MI 49412-1548
Ph: (616) 391-3139 |
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