Dr Gary David Poelman, MD - Medicare General Practice in Grand Rapids, MI

Dr Gary David Poelman, MD is a medicare enrolled "General Practice" physician in Grand Rapids, Michigan. His current practice location is 3355 Eagle Park Dr Ne, Ste103, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 942-7400.

Dr Gary David Poelman is licensed to practice in Michigan (license number GP043454) 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 1336261395.

Contact Information

Dr Gary David Poelman, MD
3355 Eagle Park Dr Ne, Ste103,
Grand Rapids, MI 49525-7004
(616) 942-7400
Not Available

Map and Direction




Physician's Profile

Full NameDr Gary David Poelman
GenderMale
SpecialityGeneral Practice
Location3355 Eagle Park Dr Ne, Grand Rapids, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336261395
  • Provider Enumeration Date: 04/03/2007
  • Last Update Date: 09/14/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7810151529
  • Enrollment ID: I20120608000504

Medical Identifiers

Medical identifiers for Dr Gary David Poelman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336261395NPI-NPPES
0107001012OtherBCBS
40099285OtherAETNA
152750OtherPHCS
117141PCOtherCCHMO,CCPPO,MERCY
B43739OtherPRIORITY HEALTH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services GP043454 (Michigan)Secondary
208D00000XGeneral Practice GP043454 (Michigan)Primary
207QG0300XFamily Medicine - Geriatric Medicine GP043454 (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 Gary David Poelman allows following entities to bill medicare on his behalf.
Entity NameVpa Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336153295
PECOS PAC ID: 9234041948
Enrollment ID: O20031103000102

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 Gary David Poelman 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
Dr Gary David Poelman, MD
3713 Norton Hills Rd,
Norton Shores, MI 49441-4469

Ph: () -
Dr Gary David Poelman, MD
3355 Eagle Park Dr Ne, Ste103,
Grand Rapids, MI 49525-7004

Ph: (616) 942-7400

Reviews and Comments


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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.