Anthony Bernicchi, MD in Grand Rapids, MI - Medicare Pediatrics

Anthony Bernicchi, MD is a medicare enrolled "Pediatrics" physician in Grand Rapids, Michigan. His current practice location is 330 Barclay Ave Ne Ste 300, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 391-8810.

Anthony Bernicchi is licensed to practice in Michigan (license number 4351051121) 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 1033804174.

Contact Information

	Anthony Bernicchi, MD
	330 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503-2527
	(616) 391-8810
	(616) 391-8897

Physician's Profile

Full Name	Anthony Bernicchi
Gender	Male
Speciality	Pediatrics
Location	330 Barclay Ave Ne Ste 300, 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: 1033804174
Provider Enumeration Date: 04/05/2023
Last Update Date: 06/19/2023

Medicare PECOS Information:

PECOS PAC ID: 5092173948
Enrollment ID: I20230624000249

Medical Identifiers

Medical identifiers for Anthony Bernicchi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033804174	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4351051121 (Michigan)	Primary

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. Anthony Bernicchi 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
Anthony Bernicchi, MD 330 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503-2527 Ph: (616) 391-8810	Anthony Bernicchi, MD 330 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503-2527 Ph: (616) 391-8810

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Pediatrics Doctors in Grand Rapids, MI

Phillip Richter Paras, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 330 Barclay Ave Ne, Suite 300, Grand Rapids, MI 49503 Phone: 616-391-8810 Fax: 616-391-8897
Nathan Andrew Patterson, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne # Mc117, Grand Rapids, MI 49503 Phone: 616-267-0118
Stephanie-grace Abinoja Raymundo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 Phone: 616-267-9150
William B Stratbucker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 35 Michigan St Ne Ste 1800, Grand Rapids, MI 49503 Phone: 616-391-7999
Wesley Hannah Shane, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 866-989-7999
Caroline Buckley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 330 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 Phone: 616-391-8810
Dr. Susan H Wakefield, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 877 Forest Hill Ave Se, Grand Rapids, MI 49546 Phone: 616-949-4465 Fax: 616-949-6191

Anthony Bernicchi, MD - Medicare Pediatrics in Grand Rapids, MI