Jill Bultje, MD - Medicare Family Practice in Grand Rapids, MI

Jill Bultje, MD is a medicare enrolled "Family Medicine" physician in Grand Rapids, Michigan. She went to Michigan State University College Of Human Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Advantage Health/saint Mary's Medical Group and her current practice location is 1471 E Beltline Ave Ne, Suite 201, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 685-8620.

Jill Bultje is licensed to practice in Michigan (license number 4301074566) 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 1568414241.

Contact Information

Jill Bultje, MD
1471 E Beltline Ave Ne, Suite 201,
Grand Rapids, MI 49525-4548
(616) 685-8620
(676) 447-7674

Map and Direction




Physician's Profile

Full NameJill Bultje
GenderFemale
SpecialityFamily Practice
Experience25 Years
Location1471 E Beltline Ave 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:
  • Jill Bultje attended and graduated from Michigan State University College Of Human Medicine in 1999
  NPI Data:
  • NPI Number: 1568414241
  • Provider Enumeration Date: 05/17/2006
  • Last Update Date: 06/26/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 7719981703
  • Enrollment ID: I20060906000072

Medical Identifiers

Medical identifiers for Jill Bultje such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568414241NPI-NPPES
4876996MedicaidMI
4440310MedicaidMI
4440347MedicaidMI
4440338MedicaidMI
4440300MedicaidMI
4440329MedicaidMI
4548162MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4301074566 (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
Advantage Health/saint Mary's Medical Group4082807961386

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. Jill Bultje allows following entities to bill medicare on her behalf.
Entity NameAdvantage Health/saint Mary's Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376862151
PECOS PAC ID: 4082807961
Enrollment ID: O20101023000279

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. Jill Bultje 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
Jill Bultje, MD
245 State St Se,
Grand Rapids, MI 49503-4328

Ph: (616) 685-1808
Jill Bultje, MD
1471 E Beltline Ave Ne, Suite 201,
Grand Rapids, MI 49525-4548

Ph: (616) 685-8620

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.