Natalie Beth Fettinger, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Grand Rapids, Michigan. Her current practice location is
300 68th St Se, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 455-5000.
Natalie Beth Fettinger is licensed to practice in * (Not Available) (license number ) 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 1790313286.
Physician's Profile
Full Name | Natalie Beth Fettinger |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 300 68th St Se, Grand Rapids, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790313286
- Provider Enumeration Date: 03/30/2020
- Last Update Date: 06/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 3577927441
- Enrollment ID: I20230911002539
Medical Identifiers
Medical identifiers for Natalie Beth Fettinger such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790313286 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | A182713 (California) | Secondary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | MD20191 (Rhode Island) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Natalie Beth Fettinger 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 |
Natalie Beth Fettinger, MD 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5000 | Natalie Beth Fettinger, MD 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5000 |
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