Dr David R Alfonso, MD in Grand Rapids, MI

Dr David R Alfonso, MD is a medicare enrolled "Plastic Surgery" physician in Grand Rapids, Michigan. His current practice location is 220 Lyon St Nw, Suite 700, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 451-4500.

Dr David R Alfonso is licensed to practice in Michigan (license number 4301080202) 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 1093930190.

Contact Information

	Dr David R Alfonso, MD
	220 Lyon St Nw, Suite 700, Grand Rapids, MI 49503-2208
	(616) 451-4500
	(616) 451-9077

Map and Direction

Physician's Profile

Full Name	Dr David R Alfonso
Gender	Male
Speciality	Plastic Surgery
Location	220 Lyon St Nw, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093930190
Provider Enumeration Date: 04/16/2007
Last Update Date: 11/20/2018

Medicare PECOS Information:

PECOS PAC ID: 1951402809
Enrollment ID: I20080728000358

Medical Identifiers

Medical identifiers for Dr David R Alfonso such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093930190	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208200000X	Plastic Surgery	4301080202 (Michigan)	Primary
2086S0122X	Surgery - Plastic And Reconstructive Surgery	4301080202 (Michigan)	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. Dr David R Alfonso allows following entities to bill medicare on his behalf.

Entity Name	Spectrum Health Hospitals
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558407189 PECOS PAC ID: 8921904764 Enrollment ID: O20040120000997

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 David R Alfonso 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 David R Alfonso, MD 220 Lyon St Nw, Suite 700, Grand Rapids, MI 49503-2208 Ph: (616) 451-4500	Dr David R Alfonso, MD 220 Lyon St Nw, Suite 700, Grand Rapids, MI 49503-2208 Ph: (616) 451-4500

Reviews and Comments

Plastic Surgery Doctors in Grand Rapids, MI

Mr. Steven Loren Ringler, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 220 Lyon St Nw, Ste 700, Grand Rapids, MI 49503 Phone: 616-451-4500 Fax: 616-451-9077
Dr. Robyn Sackeyfio, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 E Paris Ave Se, Suite 221, Grand Rapids, MI 49546 Phone: 616-222-0770
Mark R Dehaan, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1111 Leffingwell Ave Ne, Suite 200, Grand Rapids, MI 49525 Phone: 616-459-7101 Fax: 616-464-6170
Reece Moore, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 866-989-7999
Dr. Francine Lea Vagotis, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4940 Cascade Rd Se Ste 130, Grand Rapids, MI 49546 Phone: 616-285-6400 Fax: 616-285-0417
Humza Nadeem Mirza, Plastic Surgery Medicare: Medicare Enrolled Practice Location: 330 Barclay Ave Ne Ste 104, Grand Rapids, MI 49503 Phone: 616-391-6243 Fax: 616-391-8612

Dr David R Alfonso, MD - Medicare Plastic Surgery in Grand Rapids, MI