Dr. Elizabeth Renee Prentice

D.O. | Pediatric Critical Care Medicine | Female

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Complete Profile:

Dr. Elizabeth Renee Prentice basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Critical Care Medicine
Provider Name :	Dr. Elizabeth Renee Prentice
Credential :	D.O.
Gender :	Female

Business Address:

Dr. Elizabeth Renee Prentice address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	100 Michigan St Ne Grand Rapids, MI, 49503-2560 United States
Phone Number :	616-267-0118
Fax Number :	616-267-0090

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1396946331
NPI Entity Type :	Individual
First Enrolment Date :	29 May, 2007
Last Updated On :	12 May, 2022

Medicare Participation:

Dr. Elizabeth Renee Prentice participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	4486704780
Medicare Enrollment ID :	I20090608000505
Primary Specialty :	Pediatric Medicine
Medical School :	New York College Of Osteo Medicine Of New York Institute Of Technology
Graduation Year :	2006
Accepts Medicare?	Yes. Dr. Elizabeth Renee Prentice accepts medicare insurance.

Group Practice Association:

Dr. Elizabeth Renee Prentice is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Elizabeth Renee Prentice is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Spectrum Health Primary Care Partners	4587568647	1518	100 Michigan Ave Ne Grand Rapids, MI - 495032560	Yes
Spectrum Health Primary Care Partners	4587568647	1518	100 Michigan St Ne Rm 280 Helen Devos Children's Hospital Grand Rapids, MI - 495032560 Ph: 6162670115	Yes
Spectrum Health Primary Care Partners	4587568647	1518	4444 Kalamazoo Ave Se 200 Shmg Internal Medicine Kentwood, MI - 495084600 Ph: 6163915600	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Elizabeth Renee Prentice are as mentioned. Primary taxonomy code for Dr. Elizabeth Renee Prentice, D.O. is 2080P0203X (Pediatrics Pediatric Critical Care Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	5101016800	MI
2080P0203X	Pediatrics Pediatric Critical Care Medicine	Yes	5101016800	MI

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	100 Michigan St Ne, Mc 845 Grand Rapids, MI, 49503-2560 United States

Business Location:

Patients can refer following map for directions to Dr. Elizabeth Renee Prentice practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.