Dr Jason Barrett Van Ittersum, MD - Medicare Dermatology in Norton Shores, MI

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Dr Jason Barrett Van Ittersum, MD is a medicare enrolled "Dermatology" physician in Norton Shores, Michigan. He went to University Of Michigan Medical School and graduated in 1999 and has 25 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Forefront Dermatology, Lakeshore Derm And Laser Center Plc and his current practice location is 6225 Prairie St, Norton Shores, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 798-9500.

Dr Jason Barrett Van Ittersum is licensed to practice in Michigan (license number 4301074360) 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 1750303079.

Contact Information

Dr Jason Barrett Van Ittersum, MD
6225 Prairie St,
Norton Shores, MI 49444-7831
(231) 798-9500
(231) 798-9533

Map and Direction




Physician's Profile

Full NameDr Jason Barrett Van Ittersum
GenderMale
SpecialityDermatology
Experience25 Years
Location6225 Prairie St, Norton Shores, 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:
  • Dr Jason Barrett Van Ittersum attended and graduated from University Of Michigan Medical School in 1999
  NPI Data:
  • NPI Number: 1750303079
  • Provider Enumeration Date: 07/24/2006
  • Last Update Date: 03/28/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9537051677
  • Enrollment ID: I20040325000739

Medical Identifiers

Medical identifiers for Dr Jason Barrett Van Ittersum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750303079NPI-NPPES
4532162MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207NS0135XDermatology - Procedural Dermatology JV074360 (Michigan)Secondary
207N00000XDermatology 4301074360 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Health Saint Mary'sGrand rapids, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Forefront Dermatology3779471701483
Lakeshore Derm And Laser Center Plc57997930067

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 Jason Barrett Van Ittersum allows following entities to bill medicare on his behalf.
Entity NameLakeshore Derm & Laser Center Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538209945
PECOS PAC ID: 5799793006
Enrollment ID: O20060329000031
Entity NameForefront Dermatology Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912347923
PECOS PAC ID: 3779471701
Enrollment ID: O20131025001403

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 Jason Barrett Van Ittersum 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 Jason Barrett Van Ittersum, MD
801 York St,
Manitowoc, WI 54220-4630

Ph: (920) 663-9008		Dr Jason Barrett Van Ittersum, MD
6225 Prairie St,
Norton Shores, MI 49444-7831

Ph: (231) 798-9500

Reviews and Comments


Dermatology Doctors in Norton Shores, MI

Timothy S Wang, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 6225 Prairie St, Norton Shores, MI 49444
Phone: 231-798-9500    Fax: 231-798-9533
Nicole M. Bossenbroek, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 6225 Prairie St, Norton Shores, MI 49444
Phone: 231-798-9500    Fax: 231-798-9533
Robert A Gielczyk, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 6225 Prairie St, Norton Shores, MI 49444
Phone: 231-798-9500    Fax: 231-798-9533

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.