Dr Eileen Larkin Axibal, MD - Medicare Dermatology in Grand Rapids, MI

Dr Eileen Larkin Axibal, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Grand Rapids, Michigan. She went to Michigan State University College Of Human Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Dawm, Plc and her current practice location is 1740 E Paris Ave Se, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 949-5600.

Dr Eileen Larkin Axibal is licensed to practice in Michigan (license number 4301502472) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154732386.

Contact Information

Dr Eileen Larkin Axibal, MD
1740 E Paris Ave Se,
Grand Rapids, MI 49546-6204
(616) 949-5600
(616) 949-6571



Physician's Profile

Full NameDr Eileen Larkin Axibal
GenderFemale
SpecialityDermatology
Experience10 Years
Location1740 E Paris Ave Se, Grand Rapids, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Eileen Larkin Axibal attended and graduated from Michigan State University College Of Human Medicine in 2014
  NPI Data:
  • NPI Number: 1154732386
  • Provider Enumeration Date: 05/09/2014
  • Last Update Date: 01/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6709142193
  • Enrollment ID: I20200902001780

Medical Identifiers

Medical identifiers for Dr Eileen Larkin Axibal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154732386NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ND0101XDermatology - Mohs-micrographic Surgery 2019-00214 (North Carolina)Secondary
207ND0101XDermatology - Mohs-micrographic Surgery 82323 (South Carolina)Secondary
207N00000XDermatology 021728 (Colorado)Secondary
207ND0101XDermatology - Mohs-micrographic Surgery 4301502472 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dawm, Plc822403259415

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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. Dr Eileen Larkin Axibal allows following entities to bill medicare on her behalf.
Entity NameDawm, Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932132446
PECOS PAC ID: 8224032594
Enrollment ID: O20060830000113

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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. Dr Eileen Larkin Axibal 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
Dr Eileen Larkin Axibal, MD
1740 E Paris Ave Se,
Grand Rapids, MI 49546-6204

Ph: (616) 949-5600
Dr Eileen Larkin Axibal, MD
1740 E Paris Ave Se,
Grand Rapids, MI 49546-6204

Ph: (616) 949-5600

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Dermatology Doctors in Grand Rapids, MI

Dr. John E Miner, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1740 E Paris Ave Se, Grand Rapids, MI 49546
Phone: 616-949-5600    Fax: 616-949-6571
Connie M Anderson, PA-C
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 750 E Beltline Ave Ne Ste 301, Grand Rapids, MI 49525
Phone: 616-942-9343    Fax: 616-942-2538
Dr. Mary Ann Yurko, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 833 Michigan St Ne, Suite 102, Grand Rapids, MI 49503
Phone: 616-459-1440    Fax: 616-459-0313
Mrs. Rachel Ann Zollman, PAC
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 750 E Beltline Ave Ne, Suite 301, Grand Rapids, MI 49525
Phone: 616-942-9343    Fax: 616-942-2538
Dipa Suman Patel, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 555 Midtowne St Ne, Suite 301, Grand Rapids, MI 49503
Phone: 616-248-8864    Fax: 616-248-8874
Michelle Mize Emery, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 555 Midtowne St Ne, Suite 301, Grand Rapids, MI 49503
Phone: 616-248-8864    Fax: 616-248-8874

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