Mary E Van Der Velde

MD | Pediatric Cardiology | Female

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Complete Profile:

Mary E Van Der Velde basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Mary E Van Der Velde
Credential :	MD
Gender :	Female

Business Address:

Mary E Van Der Velde 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 :	1500 East Medical Center Dr, 11th Floor Cs Mott Childrens Hospital Room 661 Ann Arbor, MI, 48109-5204 United States
Phone Number :	734-764-5176

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 :	1194732867
NPI Entity Type :	Individual
First Enrolment Date :	02 Aug, 2006
Last Updated On :	29 Apr, 2013

Medicare Participation:

Mary E Van Der Velde participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0547168395
Medicare Enrollment ID :	I20031230000691
Primary Specialty :	Pediatric Medicine
Medical School :	Yale University School Of Medicine
Graduation Year :	1982
Accepts Medicare?	Yes. Mary E Van Der Velde accepts medicare insurance.

Group Practice Association:

Mary E Van Der Velde 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 Mary E Van Der Velde 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
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 2nd Floor Recp A Ann Arbor, MI - 481090999	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 2nd Floor Recp B Ann Arbor, MI - 481090999	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Suite 0331 Ann Arbor, MI - 481090999 Ph: 7349365738	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 2nd Lr Rm C213 Recp C Med Inn Ann Arbor, MI - 481090999 Ph: 7347635459	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 1st Floor Recp C Ann Arbor, MI - 481090999	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr Ann Arbor, MI - 481090999	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 1st Floor Recp D Taubman Center Ann Arbor, MI - 481090999	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr B1 Floor Recp Emergency University Hosptial Ann Arbor, MI - 481090999 Ph: 7349366666	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 1st Floor Recp E Ann Arbor, MI - 481090999	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 1st Floor Ann Arbor, MI - 481090999	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 2nd Floor Recp F Taubman Center Ann Arbor, MI - 481090999 Ph: 7349365823	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr 2nd Floor Recp G Taubman Center Ann Arbor, MI - 481090999 Ph: 7349365020	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 1st Floor Recp G Ann Arbor, MI - 481090999	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 1st Floor Emg Lab University Hospital Ann Arbor, MI - 481090999 Ph: 7349367184	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr Level 358 Cancer And Geriatrics Center Ann Arbor, MI - 481090999 Ph: 7346478901	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 2nd Floor Recp 2b355 University Hopital Ann Arbor, MI - 481090999 Ph: 7349369250	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 1st Floor Room Ann Arbor, MI - 481090999	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 3rd Fl Taubman Ctr Recp A Ann Arbor, MI - 481095000 Ph: 7346477321	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr Ann Arbor, MI - 481095000	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 1st Fl Rec D Taubman Center Ann Arbor, MI - 481095000 Ph: 7347645175	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 1st Fl Taubman Ctr Rec D Ann Arbor, MI - 481095000 Ph: 7349364185	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 1st Fl Rec F Mott Hospital Ann Arbor, MI - 481095000 Ph: 7347645176	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 Mary E Van Der Velde are as mentioned. Primary taxonomy code for Mary E Van Der Velde, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	4301082862	MI
2080P0202X	Pediatrics Pediatric Cardiology	Yes	4301082862	MI

Legacy Identifiers:

Other legacy medical identifiers of Mary E Van Der Velde such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
4560087	MEDICAID	MI

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 :	3621 S State St, 700 Kms Place Ann Arbor, MI, 48108 United States
Phone Number :	734-936-2047

Business Location:

Patients can refer following map for directions to Mary E Van Der Velde 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.