Dr Jennifer Anne Hultman, MD - Medicare Pediatric Medicine in Grand Rapids, MI

Dr Jennifer Anne Hultman, MD is a medicare enrolled "Pediatrics" physician in Grand Rapids, Michigan. She went to Michigan State University College Of Human Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice Hackley Community Care Center Inc and her current practice location is 21 Michigan St Ne, Suite 525, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 391-3776.

Dr Jennifer Anne Hultman is licensed to practice in Michigan (license number 4301081919) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750597027.

Contact Information

Dr Jennifer Anne Hultman, MD
21 Michigan St Ne, Suite 525,
Grand Rapids, MI 49503-2528
(616) 391-3776
Not Available

Map and Direction




Physician's Profile

Full NameDr Jennifer Anne Hultman
GenderFemale
SpecialityPediatric Medicine
Experience21 Years
Location21 Michigan St Ne, Grand Rapids, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jennifer Anne Hultman attended and graduated from Michigan State University College Of Human Medicine in 2003
  NPI Data:
  • NPI Number: 1750597027
  • Provider Enumeration Date: 05/15/2007
  • Last Update Date: 11/20/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 8527156439
  • Enrollment ID: I20071109000533

Medical Identifiers

Medical identifiers for Dr Jennifer Anne Hultman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750597027NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 4301081919 (Michigan)Secondary
208000000XPediatrics 4301081919 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Health Hackley CampusMuskegon, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hackley Community Care Center Inc812301549219

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 Jennifer Anne Hultman allows following entities to bill medicare on her behalf.
Entity NameHackley Community Care Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629066238
PECOS PAC ID: 8123015492
Enrollment ID: O20040511001126

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 Jennifer Anne Hultman 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 Jennifer Anne Hultman, MD
2721 Rum Creek Dr Se,
Kentwood, MI 49508-5279

Ph: (616) 971-8000
Dr Jennifer Anne Hultman, MD
21 Michigan St Ne, Suite 525,
Grand Rapids, MI 49503-2528

Ph: (616) 391-3776

Reviews and Comments


Pediatrics Doctors in Grand Rapids, MI

Phillip Richter Paras, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 330 Barclay Ave Ne, Suite 300, Grand Rapids, MI 49503
Phone: 616-391-8810    Fax: 616-391-8897
Nathan Andrew Patterson, M.D
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Medicare: Medicare Enrolled
Practice Location: 100 Michigan St Ne # Mc117, Grand Rapids, MI 49503
Phone: 616-267-0118    
Stephanie-grace Abinoja Raymundo, M.D.
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Medicare: Medicare Enrolled
Practice Location: 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503
Phone: 616-267-9150    
William B Stratbucker, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 35 Michigan St Ne Ste 1800, Grand Rapids, MI 49503
Phone: 616-391-7999    
Wesley Hannah Shane, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503
Phone: 866-989-7999    
Caroline Buckley, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 330 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503
Phone: 616-391-8810    
Dr. Susan H Wakefield, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 877 Forest Hill Ave Se, Grand Rapids, MI 49546
Phone: 616-949-4465    Fax: 616-949-6191

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.