Kelli Van Der Heide, - Medicare Speech-Language Pathologist in Ada, MI

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Kelli Van Der Heide, is a medicare enrolled "Speech-language Pathologist" provider in Ada, Michigan. Her current practice location is 4670 Fulton St E Ste 201, Ada, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 591-2905.

Kelli Van Der Heide is licensed to practice in Michigan (license number 7101004541) 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 1134523020.

Contact Information

Kelli Van Der Heide,
4670 Fulton St E Ste 201,
Ada, MI 49301-8409
(616) 591-2905
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKelli Van Der Heide
GenderFemale
SpecialitySpeech-language Pathologist
Location4670 Fulton St E Ste 201, Ada, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134523020
  • Provider Enumeration Date: 10/21/2014
  • Last Update Date: 09/15/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4789906462
  • Enrollment ID: I20141208002186

Medical Identifiers

Medical identifiers for Kelli Van Der Heide such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134523020NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 7101004541 (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. Kelli Van Der Heide allows following entities to bill medicare on her behalf.
Provider NamePediatric Speech Services LLC
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1487005807
PECOS PAC ID: 9032402615
Enrollment ID: O20160719002093

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. Kelli Van Der Heide 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 AddressPractice Location Address
Kelli Van Der Heide,
4670 Fulton St E Ste 201,
Ada, MI 49301-8409

Ph: Not Available		Kelli Van Der Heide,
4670 Fulton St E Ste 201,
Ada, MI 49301-8409

Ph: (616) 591-2905

Reviews and Comments


Speech-Language Pathologist in Ada, MI

Jacqueline Kudary, MA, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 6741 Fulton St E Ste 201, Ada, MI 49301
Phone: 616-288-2210    
Mrs. Mary E Yost, M.A. CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1209 Dogwood Meadows Dr Se, Ada, MI 49301
Phone: 616-682-1358    
Beth Pearce, M.A., CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 572 Abbey Mill Dr Se, Ada, MI 49301
Phone: 616-975-0933    
Jill Nicole Miller, MS, CCC-SLP
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 4670 Fulton St E Ste 201, Ada, MI 49301
Phone: 616-591-2905    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.