Dr Thomas Provo Pfotenhauer Jr, DO in Holland, MI

Dr Thomas Provo Pfotenhauer Jr, DO is a medicare enrolled "Internal Medicine" physician in Holland, Michigan. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Holland Community Hospital and his current practice location is 602 Michigan Ave, Holland, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 355-3896.

Dr Thomas Provo Pfotenhauer Jr is licensed to practice in Michigan (license number 5101020364) 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 1457796229.

Contact Information

	Dr Thomas Provo Pfotenhauer Jr, DO
	602 Michigan Ave, Holland, MI 49423-4918
	(616) 355-3896
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Thomas Provo Pfotenhauer Jr
Gender	Male
Speciality	Hospitalist
Experience	11 Years
Location	602 Michigan Ave, Holland, 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 Thomas Provo Pfotenhauer Jr attended and graduated from Michigan State University College Of Osteopathic Medicine in 2013

NPI Data:

NPI Number: 1457796229
Provider Enumeration Date: 05/06/2013
Last Update Date: 06/17/2016

Medicare PECOS Information:

PECOS PAC ID: 5294044061
Enrollment ID: I20160808000566

Medical Identifiers

Medical identifiers for Dr Thomas Provo Pfotenhauer Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457796229	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	5101020364 (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 Thomas Provo Pfotenhauer Jr 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

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 Thomas Provo Pfotenhauer Jr 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 Thomas Provo Pfotenhauer Jr, DO 602 Michigan Ave, Holland, MI 49423-4918 Ph: (616) 355-3896	Dr Thomas Provo Pfotenhauer Jr, DO 602 Michigan Ave, Holland, MI 49423-4918 Ph: (616) 355-3896

Reviews and Comments

Internal Medicine Doctors in Holland, MI

Dr. Marcel Michael Letourneau, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 602 Michigan Ave Ste 102, Holland, MI 49423 Phone: 616-494-8724
Tricia R Miller, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 437 North 120th Ave, Holland, MI 49424 Phone: 616-738-0737
Timothy Conlon, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3235 N Wellness Dr, Building A Suite 120b, Holland, MI 49424 Phone: 616-399-9522
Dr. Karl Nadolsky Jr., DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 605 S Waverly Rd Ste 100, Holland, MI 49423 Phone: 616-395-2833
Brian Drozdowski, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 437 120th Ave, Holland, MI 49424 Phone: 616-738-0737
Dr. Daniel Peshka, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 143 Sunrise Dr, Holland, MI 49423 Phone: 616-402-3994
Matthew Steinberger, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-546-4950 Fax: 616-546-4955

Dr Thomas Provo Pfotenhauer Jr, DO - Medicare Hospitalist in Holland, MI