Dorothy A Pedtke, DO in Grand Rapids, MI - Medicare Family Practice

Dorothy A Pedtke, DO is a medicare enrolled "Family Medicine" physician in Grand Rapids, Michigan. She went to Michigan State University College Of Osteopathic Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Born Clinic Pc and her current practice location is 3700 52nd St Se, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 656-3700.

Dorothy A Pedtke is licensed to practice in Michigan (license number DP014363) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467453456.

Contact Information

	Dorothy A Pedtke, DO
	3700 52nd St Se, Grand Rapids, MI 49512-9637
	(616) 656-3700
	(616) 656-3701

Map and Direction

Physician's Profile

Full Name	Dorothy A Pedtke
Gender	Female
Speciality	Family Practice
Experience	25 Years
Location	3700 52nd St Se, Grand Rapids, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dorothy A Pedtke attended and graduated from Michigan State University College Of Osteopathic Medicine in 1999

NPI Data:

NPI Number: 1467453456
Provider Enumeration Date: 08/02/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2769512201
Enrollment ID: I20100610000401

Medical Identifiers

Medical identifiers for Dorothy A Pedtke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467453456	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	DP014363 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Born Clinic Pc	0840263174	3

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. Dorothy A Pedtke allows following entities to bill medicare on her behalf.

Entity Name	Born Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881695484 PECOS PAC ID: 0840263174 Enrollment ID: O20040816000810

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. Dorothy A Pedtke 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
Dorothy A Pedtke, DO 3700 52nd St Se, Grand Rapids, MI 49512-9637 Ph: (616) 656-3700	Dorothy A Pedtke, DO 3700 52nd St Se, Grand Rapids, MI 49512-9637 Ph: (616) 656-3700

Reviews and Comments

Family Medicine Doctors in Grand Rapids, MI

Tammy Born Huizenga, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3700 52nd St Se, Grand Rapids, MI 49512 Phone: 616-656-3700 Fax: 616-656-3701
Kristi Kern, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4300 Cascade Rd Se, Grand Rapids, MI 49546 Phone: 616-252-1500 Fax: 616-252-1599
Melody L Fitzer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Blackberry Ln Ne, Grand Rapids, MI 49525 Phone: 616-361-8697
Leslie Ann Schulte, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2249 Wealthy St Se Ste 110, Grand Rapids, MI 49506 Phone: 616-391-4600
Lucas Patrick Friedli, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 4100 Lake Dr Se Ste B01, Grand Rapids, MI 49546 Phone: 616-267-7400
Michael J Septer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6735 Cascade Rd Se, Suite 300, Grand Rapids, MI 49546 Phone: 616-956-9400 Fax: 616-956-9708
Dr. Suzanne Michelle West, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3800 Lake Michigan Dr Nw, Ste. A, Grand Rapids, MI 49534 Phone: 616-267-8225

Dorothy A Pedtke, DO - Medicare Family Practice in Grand Rapids, MI