Dr Andrea Emma Van Pelt, MD - Medicare Surgery in Grand Rapids, MI

Dr Andrea Emma Van Pelt, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Grand Rapids, Michigan. Her current practice location is 4070 Lake Drive Se, Suite 202, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 464-4420.

Dr Andrea Emma Van Pelt is licensed to practice in Michigan (license number 4301095522) 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 1285756148.

Contact Information

Dr Andrea Emma Van Pelt, MD
4070 Lake Drive Se, Suite 202,
Grand Rapids, MI 49546
(616) 464-4420
(616) 464-4354

Map and Direction




Physician's Profile

Full NameDr Andrea Emma Van Pelt
GenderFemale
SpecialitySurgery - Plastic And Reconstructive Surgery
Location4070 Lake Drive Se, Grand Rapids, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285756148
  • Provider Enumeration Date: 04/04/2007
  • Last Update Date: 03/06/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 4082749965
  • Enrollment ID: I20100317000434

Medical Identifiers

Medical identifiers for Dr Andrea Emma Van Pelt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285756148NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0122XSurgery - Plastic And Reconstructive Surgery 4301095522 (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. Dr Andrea Emma Van Pelt allows following entities to bill medicare on her behalf.
Entity NameSpectrum Health Hospitals
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558407189
PECOS PAC ID: 8921904764
Enrollment ID: O20040120000997
Entity NameCenter For Breast & Body Contouring Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194755306
PECOS PAC ID: 7315920402
Enrollment ID: O20040610000188

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. Dr Andrea Emma Van Pelt 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 AddressPractice Location Address
Dr Andrea Emma Van Pelt, MD
4070 Lake Drive Se Suite 202, Center For Breast & Body Contouring,
Grand Rapids, MI 49546

Ph: (616) 464-4420
Dr Andrea Emma Van Pelt, MD
4070 Lake Drive Se, Suite 202,
Grand Rapids, MI 49546

Ph: (616) 464-4420

Reviews and Comments


Surgery Doctors in Grand Rapids, MI

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Phone: 616-774-8501    Fax: 616-774-8595
Christopher Visser, DO
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Practice Location: 100 Michigan St Ne Ste A601, Grand Rapids, MI 49503
Phone: 616-391-6243    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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