PHILIP DEZERN
NPI 1295509859
Social Worker in Grand Rapids, MI
About Philip Dezern NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILIP DEZERN (NPI 1295509859) is an individual social worker in Grand Rapids, Michigan, licensed in Michigan (6851093862) and active in the NPI registry since November 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Philip Dezern is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Philip Dezern reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49525
- Reassigned Medicare billing, Michigan enrollment
- 28 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49525
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Philip Dezern's NPI number?
The NPI number for Philip Dezern is 1295509859. It was assigned to this individual provider in the NPPES registry on November 14, 2023.
Where is Philip Dezern located?
Philip Dezern practices at 5020 E Beltline Ave NE, Grand Rapids, MI 49525. The listed phone number is (616) 439-1866.
What is Philip Dezern's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Philip Dezern enrolled in Medicare?
Yes. Philip Dezern is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Philip Dezern's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Philip Dezern reassigns Medicare benefits to Unity Counseling LLC (Grand Rapids, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Philip Dezern's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Philip Dezern accept?
Health plans from Oscar Insurance Company, Priority Health and UnitedHealthcare list Philip Dezern as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Philip Dezern was last updated on November 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Philip Dezern · NPI 1295509859
Social Worker provider in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since November 14, 2023.
## Identity
- **NPI:** 1295509859 (Entity type: Individual)
- **Enumerated:** November 14, 2023
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** 6851093862 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 5020 E BELTLINE AVE NE, Grand Rapids, MI 49525-6869
- **Phone:** (616) 439-1866
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Unity Counseling LLC (NPI 1285299032, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** November 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1295509859) · Data from the CMS NPPES public registry.