Mark Spoolstra, MD - Medicare Geriatric Medicine in Grand Rapids, MI

Mark Spoolstra, MD is a medicare enrolled "Internal Medicine" physician in Grand Rapids, Michigan. He went to University Of Chicago, Pritzker School Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Geriatric Medicine. He is a member of the group practice Advantage Health/saint Mary's Medical Group and his current practice location is 300 Lafayette Ave Se, Suite 4200, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 685-6919.

Mark Spoolstra is licensed to practice in Michigan (license number 4301050964) 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 1912953662.

Contact Information

Mark Spoolstra, MD
300 Lafayette Ave Se, Suite 4200,
Grand Rapids, MI 49503-4650
(616) 685-6919
(616) 685-3063

Map and Direction




Physician's Profile

Full NameMark Spoolstra
GenderMale
SpecialityGeriatric Medicine
Experience40 Years
Location300 Lafayette Ave Se, Grand Rapids, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mark Spoolstra attended and graduated from University Of Chicago, Pritzker School Of Medicine in 1984
  NPI Data:
  • NPI Number: 1912953662
  • Provider Enumeration Date: 05/25/2006
  • Last Update Date: 12/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6709881188
  • Enrollment ID: I20060918000178

Medical Identifiers

Medical identifiers for Mark Spoolstra such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912953662NPI-NPPES
4878990MedicaidMI
4194243MedicaidMI
4203852MedicaidMI
3415869MedicaidMI
4879002MedicaidMI
3483125MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 4301050964 (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. Mark Spoolstra allows following entities to bill medicare on his 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. Mark Spoolstra 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
Mark Spoolstra, MD
245 State St Se,
Grand Rapids, MI 49503-4328

Ph: (616) 685-1808
Mark Spoolstra, MD
300 Lafayette Ave Se, Suite 4200,
Grand Rapids, MI 49503-4650

Ph: (616) 685-6919

Reviews and Comments


Internal Medicine Doctors in Grand Rapids, MI

Maureen U Tan- Pedres, M.D.
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Dr. Erin Megan Pettijohn, M.D.
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Aline De Quadros Teixeira, MD
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Stephanie F Williams, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 145 Michigan St Ne, Suite 5200, Grand Rapids, MI 49503
Phone: 616-486-5933    Fax: 616-486-6489

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.