David J Van Dam, CRNA in Warren, MI - Medicare Nurse Anesthetist, Certified Registered

David J Van Dam, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Warren, Michigan. His current practice location is 11800 E 12 Mile Rd, Warren, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 573-5260.

David J Van Dam is licensed to practice in Michigan (license number 4704115131) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033137153.

Contact Information

	David J Van Dam, CRNA
	11800 E 12 Mile Rd, Warren, MI 48093-3472
	(586) 573-5260
	(586) 573-5364

Map and Direction

Provider's Profile

Full Name	David J Van Dam
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	11800 E 12 Mile Rd, Warren, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033137153
Provider Enumeration Date: 07/17/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7618878794
Enrollment ID: I20040120001043

Medical Identifiers

Medical identifiers for David J Van Dam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033137153	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4704115131 (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. David J Van Dam allows following entities to bill medicare on his behalf.

Entity Name	Eastside Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235365289 PECOS PAC ID: 4486790219 Enrollment ID: O20091008000624

Entity Name	Rochester Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396398681 PECOS PAC ID: 8729318704 Enrollment ID: O20190918002717

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. David J Van Dam 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
David J Van Dam, CRNA 11800 E 12 Mile Rd, Warren, MI 48093-3472 Ph: (586) 573-5260	David J Van Dam, CRNA 11800 E 12 Mile Rd, Warren, MI 48093-3472 Ph: (586) 573-5260

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Warren, MI

Kimberly A Manzaroli, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5260 Fax: 586-573-5364
Toleka Regina Taylor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 Phone: 586-576-4031
Metodija Naumovski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5260 Fax: 586-573-5364
Mr. Romulo Gasmen Pascua, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 21230 Dequindre Rd, Warren, MI 48091 Phone: 734-765-2921
Norbert Kadler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5260 Fax: 586-573-5364
Ms. Diane Marie Pokorski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-612-4446

David J Van Dam, CRNA - Medicare Nurse Anesthetist, Certified Registered in Warren, MI