Mariel Christine Haverdink, CNM in Grand Rapids, MI - Medicare Advanced Practice Midwife

Mariel Christine Haverdink, CNM is a medicare enrolled "Advanced Practice Midwife" in Grand Rapids, Michigan. Her current practice location is 80 68th St Se Ste 301, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 391-3302.

Mariel Christine Haverdink is licensed to practice in Michigan (license number 4704310264) 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 1144804048.

Contact Information

	Mariel Christine Haverdink, CNM
	80 68th St Se Ste 301, Grand Rapids, MI 49548-6980
	(616) 391-3302
	Not Available

Map and Direction

Provider's Profile

Full Name	Mariel Christine Haverdink
Gender	Female
Speciality	Advanced Practice Midwife
Location	80 68th St Se Ste 301, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144804048
Provider Enumeration Date: 05/07/2021
Last Update Date: 01/08/2024

Medicare PECOS Information:

PECOS PAC ID: 2062811458
Enrollment ID: I20210605000007

Medical Identifiers

Medical identifiers for Mariel Christine Haverdink such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144804048	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	4704310264 (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. Mariel Christine Haverdink allows following entities to bill medicare on her behalf.

Entity Name	Tandem Health Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386630192 PECOS PAC ID: 3870575855 Enrollment ID: O20040603000514

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. Mariel Christine Haverdink 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
Mariel Christine Haverdink, CNM 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () -	Mariel Christine Haverdink, CNM 80 68th St Se Ste 301, Grand Rapids, MI 49548-6980 Ph: (616) 391-3302

Reviews and Comments

Advanced Practice Midwife Nurses in Grand Rapids, MI

Jan Margaret Buchanan, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne # Mc020, Grand Rapids, MI 49503 Phone: 616-391-2160
Jennifer Marie Shanley, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 426 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-3302
Carolyn E Leja, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne # Mc020, Grand Rapids, MI 49503 Phone: 616-391-1751
Erin Irwin, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-2160
Laurel Patricia Jessup, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne # Mc027, Grand Rapids, MI 49503 Phone: 616-391-2160
Renee M Bates, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Mc 020, Grand Rapids, MI 49503 Phone: 616-391-1751 Fax: 616-391-2310

Mariel Christine Haverdink, CNM - Medicare Advanced Practice Midwife in Grand Rapids, MI