Shelley Marie Drew, D.O.
Individual provider Active NPI Family Medicine Physician · Walker, MI
NPI 1679536726 · NPPES record last updated Nov 1, 2007
Key facts
- NPI
- 1679536726
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- SD010173 (MI)
- Practice address
- 1550 3 Mile Rd NW
Walker, MI 49544-8251 - Phone
- (616) 785-3883
- NPI assigned
- Apr 10, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- West Michigan Family Medicine PC
Center for Physical Rehabilitation Inc
Center for Physical Rehabilitation and Therapy LP
Practice addresses (Care Compare)
1550 3 Mile NW Rd a
Walker, MI 49544-8251
Phone (616) 785-3883
5060 Cascade Rd
Suite a
Grand Rapids, MI 49546-3808
5060 Cascade Rd SE
Suite a
Grand Rapids, MI 49546-3808
Hospital & facility affiliations
- Spectrum Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110602000639 | MI | Practitioner - Family Practice | 0840191235 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SD010173 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Michigan Family Medicine PC | Family Medicine | Current |
Accepting new patients |
| West Michigan Family Medicine-Kentwood, PLC | Family Medicine | Past |
Accepting new patients |
Locations
2120 43rd St SE
Ste 200
Kentwood, MI 49508
Phone (616) 455-4114
1550 3 Mile Rd NW
Ste A
Walker, MI 49544
Phone (616) 785-3883
1550 3 Mile Rd NW
Walker, MI 49544
Phone (616) 455-4114
Interoperability endpoints
- sdrew1860@epic00.corewelldirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | SD010173 | MI | Yes |
Addresses
Primary practice location
1550 3 Mile Rd NW
Walker, MI 49544-8251
Mailing address
1550 3 Mile Rd NW
Walker, MI 49544-8251
Phone (616) 785-3883
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4092940 | Medicaid | MI |
Other providers in Walker, MI
- Daniel Denooyer
- Sarah Kathryn Deyoung
- Melanie Dideriksen
- Taylor Doyon
- Darian Jo Dressler
- Christine Pearl Duch
- Linda Dzonlagic
- Mikaila Celeste Ehrhardt
- Brittany Ann Ellison
- Joshua Ericksen
All providers in Walker, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.