David J Van Dam, CRNA - Medicare Nurse Anesthetist, Certified Registered in Warren, MI

David J Van Dam, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Warren, Michigan. His current practice location is 11800 E 12 Mile Rd, Warren, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 573-5260.

David J Van Dam is licensed to practice in Michigan (license number 4704115131) 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 1033137153.

Contact Information

David J Van Dam, CRNA
11800 E 12 Mile Rd,
Warren, MI 48093-3472
(586) 573-5260
(586) 573-5364



Provider's Profile

Full NameDavid J Van Dam
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location11800 E 12 Mile Rd, Warren, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033137153
  • Provider Enumeration Date: 07/17/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7618878794
  • Enrollment ID: I20040120001043

Medical Identifiers

Medical identifiers for David J Van Dam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033137153NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 4704115131 (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. David J Van Dam allows following entities to bill medicare on his behalf.
Entity NameEastside Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235365289
PECOS PAC ID: 4486790219
Enrollment ID: O20091008000624

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› Verified 9 days ago

Entity NameRochester Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396398681
PECOS PAC ID: 8729318704
Enrollment ID: O20190918002717

News Archive

Type 3 interferons and T helper 2 cells: an interview with Grant Gallagher, Managing Director, HUMIGEN

The type 3 interferons - usually called the "lambda" interferons, or "IFNL" - are the most recently identified IFNs. We (myself and Sergei Kotenko) originally identified the receptor and then the three ligands (IFNL1,2,3; very recently a fourth, IFNL4, was discovered); the key paper was published in 2003.

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Researchers in the United States believe they have discovered a "master" embryonic cardiac stem cell.

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The imminent death of a patient is riddled with emotions for a patient and family as well as the medical team. A study based on the reflections of third-year Loyola University Chicago Stritch School of Medicine students is shedding light on the struggle physicians in training often face when trying to control their own emotions while not becoming desensitized to the needs of the dying patient and his or her family.

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› Verified 9 days ago

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. David J Van Dam 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
David J Van Dam, CRNA
11800 E 12 Mile Rd,
Warren, MI 48093-3472

Ph: (586) 573-5260
David J Van Dam, CRNA
11800 E 12 Mile Rd,
Warren, MI 48093-3472

Ph: (586) 573-5260

News Archive

Type 3 interferons and T helper 2 cells: an interview with Grant Gallagher, Managing Director, HUMIGEN

The type 3 interferons - usually called the "lambda" interferons, or "IFNL" - are the most recently identified IFNs. We (myself and Sergei Kotenko) originally identified the receptor and then the three ligands (IFNL1,2,3; very recently a fourth, IFNL4, was discovered); the key paper was published in 2003.

Master stem cell capable of producing new heart tissue

Researchers in the United States believe they have discovered a "master" embryonic cardiac stem cell.

Study: Medical students concerned about becoming desensitized to the needs of dying patient

The imminent death of a patient is riddled with emotions for a patient and family as well as the medical team. A study based on the reflections of third-year Loyola University Chicago Stritch School of Medicine students is shedding light on the struggle physicians in training often face when trying to control their own emotions while not becoming desensitized to the needs of the dying patient and his or her family.

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› Verified 9 days ago


Nurse Anesthetist, Certified Registered Nurses in Warren, MI

Kimberly A Manzaroli, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093
Phone: 586-573-5260    Fax: 586-573-5364
Toleka Regina Taylor, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093
Phone: 586-576-4031    
Metodija Naumovski, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093
Phone: 586-573-5260    Fax: 586-573-5364
Mr. Romulo Gasmen Pascua, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 21230 Dequindre Rd, Warren, MI 48091
Phone: 734-765-2921    
Norbert Kadler, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093
Phone: 586-573-5260    Fax: 586-573-5364
Ms. Diane Marie Pokorski, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093
Phone: 586-612-4446    

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