Dr Timothy Gerard Vandenboom Ii, MD in Ypsilanti, MI

Dr Timothy Gerard Vandenboom Ii, MD is a medicare enrolled "Dermatology - Dermatopathology" physician in Ypsilanti, Michigan. He went to Wayne State University School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Iha Health Services Corporation and his current practice location is 5301 E Huron River Dr, Ypsilanti, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 712-3161.

Dr Timothy Gerard Vandenboom Ii is licensed to practice in Michigan (license number 4301114577) 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 1629344189.

Contact Information

	Dr Timothy Gerard Vandenboom Ii, MD
	5301 E Huron River Dr, Ypsilanti, MI 48197-1051
	(734) 712-3161
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Timothy Gerard Vandenboom Ii
Gender	Male
Speciality	Pathology
Experience	12 Years
Location	5301 E Huron River Dr, Ypsilanti, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Timothy Gerard Vandenboom Ii attended and graduated from Wayne State University School Of Medicine in 2012

NPI Data:

NPI Number: 1629344189
Provider Enumeration Date: 03/29/2012
Last Update Date: 04/26/2021

Medicare PECOS Information:

PECOS PAC ID: 9335440155
Enrollment ID: I20180709002136

Medical Identifiers

Medical identifiers for Dr Timothy Gerard Vandenboom Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629344189	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	125062313 (Illinois)	Secondary
207ND0900X	Dermatology - Dermatopathology	4301114577 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Michigan Health System	Ann arbor, MI	Hospital
St Joseph Mercy Hospital	Ann arbor, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Iha Health Services Corporation	2466351440	911

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 Timothy Gerard Vandenboom Ii allows following entities to bill medicare on his behalf.

Entity Name	Iha Health Services Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355

Entity Name	Pinkus Dermatopathology Laboratory, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346223377 PECOS PAC ID: 8921077884 Enrollment ID: O20040928000304

Entity Name	Consultants In Laboratory Medicine Of Greater Toledo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982673372 PECOS PAC ID: 2860474459 Enrollment ID: O20070831000167

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 Timothy Gerard Vandenboom Ii 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 Timothy Gerard Vandenboom Ii, MD 24 Frank Lloyd Wright Dr Lbby J2000, Ann Arbor, MI 48105-9484 Ph: (734) 747-6766	Dr Timothy Gerard Vandenboom Ii, MD 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 Ph: (734) 712-3161

Reviews and Comments

Dermatology Doctors in Ypsilanti, MI

Montgomery O Gillard, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4990 W Clark Rd, Building A, Suite 200, Ypsilanti, MI 48197 Phone: 734-572-7500 Fax: 734-572-7777
Dr. Hyuk C Cha, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4990 W Clark Rd, Ste 400, Ypsilanti, MI 48197 Phone: 734-677-3376 Fax: 734-572-3229
Elizabeth Anne Henderson, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5333 Mcauley Dr, Suite 4001, Ypsilanti, MI 48197 Phone: 734-712-3980
Michael Dewall, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5301 E Huron River Dr, Ypsilanti, MI 48197 Phone: 734-712-3161 Fax: 734-712-2244
Dr. Emily Rose Davis, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5333 Mcauley Dr Rm 2111, Ypsilanti, MI 48197 Phone: 734-712-5015 Fax: 734-712-8777

Dr Timothy Gerard Vandenboom Ii, MD - Medicare Pathology in Ypsilanti, MI