Jonathan Todd Bolthouse, MD in Grand Rapids, MI

Jonathan Todd Bolthouse, MD is a medicare enrolled "Urology" physician in Grand Rapids, Michigan. He went to Wayne State University School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Urology. He is a member of the group practice Spectrum Health Primary Care Partners and his current practice location is 1900 Wealthy St Se Ste 100, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 267-7333.

Jonathan Todd Bolthouse is licensed to practice in Michigan (license number 4301065768) 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 1518906221.

Contact Information

	Jonathan Todd Bolthouse, MD
	1900 Wealthy St Se Ste 100, Grand Rapids, MI 49506-2969
	(616) 267-7333
	Not Available

Map and Direction

Physician's Profile

Full Name	Jonathan Todd Bolthouse
Gender	Male
Speciality	Urology
Experience	29 Years
Location	1900 Wealthy St Se Ste 100, Grand Rapids, 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:

Jonathan Todd Bolthouse attended and graduated from Wayne State University School Of Medicine in 1995

NPI Data:

NPI Number: 1518906221
Provider Enumeration Date: 06/06/2006
Last Update Date: 06/26/2024

Medicare PECOS Information:

PECOS PAC ID: 7315913290
Enrollment ID: I20040902000960

Medical Identifiers

Medical identifiers for Jonathan Todd Bolthouse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518906221	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	4301065768 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Spectrum Health	Grand rapids, MI	Hospital
Spectrum Health Big Rapids Hospital	Big rapids, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Spectrum Health Primary Care Partners	4587568647	1590

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. Jonathan Todd Bolthouse allows following entities to bill medicare on his behalf.

Entity Name	Spectrum Health Primary Care Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091

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. Jonathan Todd Bolthouse 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
Jonathan Todd Bolthouse, MD 100 Michigan St Ne, Mc845, Grand Rapids, MI 49503-2560 Ph: () -	Jonathan Todd Bolthouse, MD 1900 Wealthy St Se Ste 100, Grand Rapids, MI 49506-2969 Ph: (616) 267-7333

Reviews and Comments

Urology Doctors in Grand Rapids, MI

Erik M Ratchford, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 245 Cherry St Se,, Suite 202, Grand Rapids, MI 49503 Phone: 616-459-3551 Fax: 616-459-1060
Alexander Michael Shannon, DO Urology Medicare: Medicare Enrolled Practice Location: 1900 Wealthy St Se Ste 100, Grand Rapids, MI 49506 Phone: 616-267-7333
Dr. John Glenn Anema, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 25 Michigan St Ne, Suite 3300, Grand Rapids, MI 49503 Phone: 616-459-4171 Fax: 616-459-0044
Dr. Hector Pimentel, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1900 Wealthy St Se Ste 100, Grand Rapids, MI 49506 Phone: 616-267-7333
Dr. George Francis Steinhardt, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 25 Michigan St Ne, Suite 3300, Grand Rapids, MI 49503 Phone: 616-459-4171 Fax: 616-459-0044
Theodore Dale Barber, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 25 Michigan St Ne Ste 3300, Grand Rapids, MI 49503 Phone: 616-459-4171 Fax: 616-459-0044
Richard Kahnoski, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 4069 Lake Dr Se Ste 313, Grand Rapids, MI 49546 Phone: 616-774-9333

Jonathan Todd Bolthouse, MD - Medicare Urology in Grand Rapids, MI