Boris Vidri, MD - Medicare Anesthesiology in Grand Rapids, MI

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Boris Vidri, MD is a medicare enrolled "Anesthesiology - Pediatric Anesthesiology" physician in Grand Rapids, Michigan. He went to Wayne State University School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice West Michigan Anesthesia Pc and his current practice location is 100 Michigan St Ne, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 364-4200.

Boris Vidri is licensed to practice in Michigan (license number 4301105813) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1518373794.

Contact Information

Boris Vidri, MD
100 Michigan St Ne,
Grand Rapids, MI 49503-2560
(616) 364-4200
Not Available

Map and Direction




Physician's Profile

Full NameBoris Vidri
GenderMale
SpecialityAnesthesiology
Experience10 Years
Location100 Michigan St Ne, Grand Rapids, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Boris Vidri attended and graduated from Wayne State University School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1518373794
  • Provider Enumeration Date: 07/08/2014
  • Last Update Date: 07/10/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0446476949
  • Enrollment ID: I20190817000439

Medical Identifiers

Medical identifiers for Boris Vidri such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518373794NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 4301105813 (Michigan)Secondary
207LP3000XAnesthesiology - Pediatric Anesthesiology 4301105813 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Spectrum HealthGrand rapids, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
West Michigan Anesthesia Pc1355243551190

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. Boris Vidri allows following entities to bill medicare on his behalf.
Entity NameSpectrum Health Primary Care Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235188673
PECOS PAC ID: 4587568647
Enrollment ID: O20031121000091
Entity NameWest Michigan Anesthesia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225016926
PECOS PAC ID: 1355243551
Enrollment ID: O20040504001256
Entity NameAmc Mobile Anesthesia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376868372
PECOS PAC ID: 9830372812
Enrollment ID: O20110329000600
Entity NameAnesthesia Medical Consultants, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063710689
PECOS PAC ID: 3678751658
Enrollment ID: O20110621000722

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. Boris Vidri 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
Boris Vidri, MD
621 E Mehring Way Unit 1502,
Cincinnati, OH 45202-3530

Ph: (248) 227-4767		Boris Vidri, MD
100 Michigan St Ne,
Grand Rapids, MI 49503-2560

Ph: (616) 364-4200

Reviews and Comments


Anesthesiology Doctors in Grand Rapids, MI

Matthew H Armstrong, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503
Phone: 616-364-4200    
Daniel H. Robinson, D.O.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503
Phone: 616-685-5000    
Cheryl Lukins, M.D.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 25 Michigan St Ne Ste 2200, Grand Rapids, MI 49503
Phone: 616-391-3245    
Dr. Jeffrey M Ricketts, DO
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525
Phone: 616-364-4200    Fax: 616-364-7347
Christopher Ross Russo, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 710 Kenmoor Ave Se, Suite 200, Grand Rapids, MI 49546
Phone: 616-588-7246    Fax: 616-588-7086
Samuel Lee, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 100 Michign St Ne, Grand Rapids, MI 49503
Phone: 616-364-4200    
Dr. Cindy Chu, DO
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503
Phone: 616-685-5000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.