David Jon Blystra, - Medicare Family Medicine in Holland, MI

  1. Home
  2. Family Medicine
  3. MI
  4. Holland
David Jon Blystra, is a medicare enrolled "Family Medicine" physician in Holland, Michigan. His current practice location is 904 Washington Ave Ste 210, Holland, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 392-8035.

David Jon Blystra is licensed to practice in Michigan (license number 4301506520) 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 1508328014.

Contact Information

David Jon Blystra,
904 Washington Ave Ste 210,
Holland, MI 49423-7724
(616) 392-8035
Not Available

Map and Direction




Physician's Profile

Full NameDavid Jon Blystra
GenderMale
SpecialityFamily Medicine
Location904 Washington Ave Ste 210, Holland, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508328014
  • Provider Enumeration Date: 04/03/2019
  • Last Update Date: 08/09/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0749514479
  • Enrollment ID: I20220811000257

Medical Identifiers

Medical identifiers for David Jon Blystra such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508328014NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4301506520 (Michigan)Primary
207Q00000XFamily Medicine 9999999 (Arizona)Secondary

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 Jon Blystra allows following entities to bill medicare on his behalf.
Entity NameHolland Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780888099
PECOS PAC ID: 0446157291
Enrollment ID: O20031218000484

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 Jon Blystra 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 Jon Blystra,
904 Washington Ave Ste 210,
Holland, MI 49423-7724

Ph: (616) 392-8035		David Jon Blystra,
904 Washington Ave Ste 210,
Holland, MI 49423-7724

Ph: (616) 392-8035

Reviews and Comments


Family Medicine Doctors in Holland, MI

Shaena Freeman, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1061 Washington Ave, Holland, MI 49423
Phone: 616-393-8100    Fax: 877-451-0226
Jessica White, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 602 Michigan Ave, Holland, MI 49423
Phone: 616-546-4950    Fax: 616-546-4955
Mark Norval Folkening, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 111 Lakeview Ave, Holland, MI 49424
Phone: 616-502-7144    Fax: 616-786-0185
William Barry Bonzelaar, M.D.032354
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 904 S Washington Ave, Suite 210, Holland, MI 49423
Phone: 616-392-8035    Fax: 616-392-7404
Jon W Kroeze, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 382 N 120th Ave, Holland, MI 49424
Phone: 616-396-6516    Fax: 616-396-2513
Dan F Kreuzer, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 383 Garden Ave, Holland, MI 49424
Phone: 616-494-8271    Fax: 616-494-8273
Christopher Lee Wedeven, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2450 Van Ommen Dr, Holland, MI 49424
Phone: 616-399-4946    

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.