Dr Koryn M Vanittersum, MD in Muskegon, MI

Dr Koryn M Vanittersum, MD is a medicare enrolled "Family Medicine" physician in Muskegon, Michigan. Her current practice location is 6401 Prairie St, Suite 2600, Muskegon, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 727-7900.

Dr Koryn M Vanittersum is licensed to practice in Michigan (license number 4301076092) 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 1699767897.

Contact Information

	Dr Koryn M Vanittersum, MD
	6401 Prairie St, Suite 2600, Muskegon, MI 49444
	(231) 727-7900
	(231) 727-7914

Map and Direction

Physician's Profile

Full Name	Dr Koryn M Vanittersum
Gender	Female
Speciality	Family Medicine
Location	6401 Prairie St, Muskegon, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699767897
Provider Enumeration Date: 08/16/2005
Last Update Date: 06/20/2013

Medicare PECOS Information:

PECOS PAC ID: 2769380666
Enrollment ID: I20031230000399

Medical Identifiers

Medical identifiers for Dr Koryn M Vanittersum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699767897	NPI	-	NPPES
N28430074	Other	MI	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4301076092 (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 Koryn M Vanittersum allows following entities to bill medicare on her behalf.

Entity Name	Lakeshore Derm & Laser Center Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538209945 PECOS PAC ID: 5799793006 Enrollment ID: O20060329000031

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 Koryn M Vanittersum 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
Dr Koryn M Vanittersum, MD Po Box 1848, Muskegon, MI 49443-1848 Ph: (231) 727-4444	Dr Koryn M Vanittersum, MD 6401 Prairie St, Suite 2600, Muskegon, MI 49444 Ph: (231) 727-7900

Reviews and Comments

Family Medicine Doctors in Muskegon, MI

Dr. Glenn E Merz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1675 Leahy St, Ste 301, Muskegon, MI 49442 Phone: 231-728-5007 Fax: 231-728-5014
Leslie N Kingsley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Baker St Fl 3, Muskegon, MI 49444 Phone: 231-737-1335 Fax: 231-737-0534
Dr. Melissa Ann Brown, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2009 Holton Rd, Muskegon, MI 49445 Phone: 616-391-6120
Samara A Champion, MSN, APRN, NP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1550 Clinton St, Muskegon, MI 49442 Phone: 231-737-1335
Kelsey Lynn Stoddard, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1675 Leahy St Ste 201a, Muskegon, MI 49442 Phone: 231-672-6600
Dr. Fred James Vanalstine, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-672-3027 Fax: 231-672-3873
Matthew Neil Powell, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5933 Grand Haven Rd, Muskegon, MI 49441 Phone: 231-799-3300 Fax: 231-799-3322

Dr Koryn M Vanittersum, MD - Medicare Family Medicine in Muskegon, MI