John Jeffrey Italiano, DO in Fruitport, MI

John Jeffrey Italiano, DO is a medicare enrolled "Family Medicine" physician in Fruitport, Michigan. His current practice location is 3443 Farr Rd, Fruitport, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 672-2900.

John Jeffrey Italiano is licensed to practice in Michigan (license number 5101027462) 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 1316681232.

Contact Information

	John Jeffrey Italiano, DO
	3443 Farr Rd, Fruitport, MI 49415-8779
	(231) 672-2900
	Not Available

Map and Direction

Physician's Profile

Full Name	John Jeffrey Italiano
Gender	Male
Speciality	Family Medicine
Location	3443 Farr Rd, Fruitport, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316681232
Provider Enumeration Date: 04/26/2022
Last Update Date: 02/20/2024

Medicare PECOS Information:

PECOS PAC ID: 8224571633
Enrollment ID: I20240613002352

Medical Identifiers

Medical identifiers for John Jeffrey Italiano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316681232	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	5101027462 (Michigan)	Secondary
207Q00000X	Family Medicine	5101027462 (Michigan)	Primary

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. John Jeffrey Italiano allows following entities to bill medicare on his behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20210405000855

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. John Jeffrey Italiano 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
John Jeffrey Italiano, DO 1508 Bluebird Rd Apt 11, Grand Haven, MI 49417-9012 Ph: () -	John Jeffrey Italiano, DO 3443 Farr Rd, Fruitport, MI 49415-8779 Ph: (231) 672-2900

Reviews and Comments

Family Medicine Doctors in Fruitport, MI

Chase Burton, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3443 Farr Rd, Fruitport, MI 49415 Phone: 231-672-8284
Dr. Kristen Kay Woods, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3443 Farr Rd, Fruitport, MI 49415 Phone: 231-672-2900 Fax: 231-672-2901
Nathan Dills, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3443 Farr Rd, Fruitport, MI 49415 Phone: 231-672-2900
Fizza Agha, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3443 Farr Rd, Fruitport, MI 49415 Phone: 231-727-5209
Lauren Mcgraw, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3443 Farr Rd, Fruitport, MI 49415 Phone: 231-672-2900
Kristina Powell, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3443 Farr Rd, Fruitport, MI 49415 Phone: 231-672-2900
Dominic Klosowski, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3443 Farr Rd, Fruitport, MI 49415 Phone: 231-672-2900

John Jeffrey Italiano, DO - Medicare Family Medicine in Fruitport, MI