Dr Bobga S Fomunung, MD in Grand Rapids, MI

Dr Bobga S Fomunung, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Grand Rapids, Michigan. He went to Medical College Of Wisconsin and graduated in 2003 and has 21 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Holland Community Hospital and his current practice location is 1939 Division Ave S, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 247-3815.

Dr Bobga S Fomunung is licensed to practice in Michigan (license number 5315017245) 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 1700899010.

Contact Information

	Dr Bobga S Fomunung, MD
	1939 Division Ave S, Grand Rapids, MI 49507-2459
	(616) 247-3815
	(616) 245-0450

Map and Direction

Physician's Profile

Full Name	Dr Bobga S Fomunung
Gender	Male
Speciality	Psychiatry
Experience	21 Years
Location	1939 Division Ave S, Grand Rapids, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Bobga S Fomunung attended and graduated from Medical College Of Wisconsin in 2003

NPI Data:

NPI Number: 1700899010
Provider Enumeration Date: 08/15/2006
Last Update Date: 03/26/2024

Medicare PECOS Information:

PECOS PAC ID: 1153387667
Enrollment ID: I20041207000420

Medical Identifiers

Medical identifiers for Dr Bobga S Fomunung such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700899010	NPI	-	NPPES
1556483	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	5315017245 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Holland Community Hospital	Holland, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Holland Community Hospital	0446157291	144

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. Dr Bobga S Fomunung allows following entities to bill medicare on his behalf.

Entity Name	Holland Community Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780888099 PECOS PAC ID: 0446157291 Enrollment ID: O20031218000484

Entity Name	Kent County Cmh Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588935068 PECOS PAC ID: 9436314143 Enrollment ID: O20120703000167

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. Dr Bobga S Fomunung 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 Address	Practice Location Address
Dr Bobga S Fomunung, MD 1939 S Division, Grand Rapids, MI 49507 Ph: (616) 247-3815	Dr Bobga S Fomunung, MD 1939 Division Ave S, Grand Rapids, MI 49507-2459 Ph: (616) 247-3815

Reviews and Comments

Psychiatry & Neurology Doctors in Grand Rapids, MI

Dr. Talal Khan, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 300 68th Street Se, Pine Rest Christian Mental Health Service,, Grand Rapids, MI 49548 Phone: 616-455-5000
Mark Melby Juel, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 616-456-0842 Fax: 616-559-5864
Beenish Javaid, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503 Phone: 616-267-7104
Subodh Jain, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2750 E Beltline Ave Ne Fl 3, Grand Rapids, MI 49525 Phone: 616-447-5820
Dr. Dora Eva Hillman, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1545 68th St Se Ste 200, Grand Rapids, MI 49508 Phone: 616-447-5820
Dr. Austin Lee Van Velsen, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 616-456-0857
Dr. Justin Royer, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 616-456-0857

Dr Bobga S Fomunung, MD - Medicare Psychiatry in Grand Rapids, MI