Michael J Bultje, DO | |
2093 Health Dr Sw, Ste 200, Wyoming, MI 49519-9691 | |
(616) 459-3158 | |
(616) 819-2222 |
Full Name | Michael J Bultje |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 25 Years |
Location | 2093 Health Dr Sw, Wyoming, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144224882 | NPI | - | NPPES |
4426277 | Medicaid | MI | |
38-2145264 | Other | MI | IRS TAX ID # THRU NEW EMPLOYER EFFECTIVE 6/30/09 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101014160 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Spectrum Health | Grand rapids, MI | Hospital |
Spectrum Health Pennock | Hastings, MI | Hospital |
Metro Health Hospital | Wyoming, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Grand Valley Medical Specialists Plc | 1254311947 | 21 |
Entity Name | Grand Valley Medical Specialists Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033226402 PECOS PAC ID: 1254311947 Enrollment ID: O20040722001223 |
Mailing Address | Practice Location Address |
---|---|
Michael J Bultje, DO 2093 Health Dr Sw, Ste 200, Wyoming, MI 49519-9691 Ph: (616) 459-3158 | Michael J Bultje, DO 2093 Health Dr Sw, Ste 200, Wyoming, MI 49519-9691 Ph: (616) 459-3158 |
Dr. Tristan J Worthington, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200 Fax: 616-252-4953 | |
Mark W Newberry, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5838 Metro Way Sw, Wyoming, MI 49519 Phone: 616-249-5300 | |
John W Hamersma, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2093 Health Dr Sw, Ste 200, Wyoming, MI 49519 Phone: 616-459-3158 Fax: 616-819-2222 | |
Dr. Brooke M Lenz, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200 Fax: 616-252-4953 | |
Alan Michael Young, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 950 36th St Sw, Wyoming, MI 49509 Phone: 616-685-3300 Fax: 616-685-3303 | |
Dr. Richard J Stang, D.O Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3011 Sandy Ct Sw, Wyoming, MI 49418 Phone: 616-272-3909 |