Nicholas Michael Bontumasi, MD is a medicare enrolled "Dermatology" physician in Grand Haven, Michigan. He went to Washington University School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Forefront Dermatology and his current practice location is
1600 S Beacon Blvd Ste 160, Grand Haven, Michigan. You can reach out to his office (for appointments etc.) via phone at
(616) 268-2001.
Nicholas Michael Bontumasi is licensed to practice in Iowa (license number R-09922) 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 1306289574.
Physician's Profile
| Full Name | Nicholas Michael Bontumasi |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 11 Years |
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| Location | 1600 S Beacon Blvd Ste 160, Grand Haven, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nicholas Michael Bontumasi attended and graduated from Washington University School Of Medicine in 2013
NPI Data:
- NPI Number: 1306289574
- Provider Enumeration Date: 04/08/2013
- Last Update Date: 02/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 7416224670
- Enrollment ID: I20170519000074
Medical Identifiers
Medical identifiers for Nicholas Michael Bontumasi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306289574 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | R-09922 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Forefront Dermatology | 3779471701 | 483 |
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. Nicholas Michael Bontumasi allows following entities to bill medicare on his behalf.
| Entity Name | Forefront Dermatology Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912347923
PECOS PAC ID: 3779471701
Enrollment ID: O20131025001403 |
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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. Nicholas Michael Bontumasi 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 |
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Nicholas Michael Bontumasi, MD
801 York St,
Manitowoc, WI 54220-4630
Ph: (920) 663-9008 | Nicholas Michael Bontumasi, MD
1600 S Beacon Blvd Ste 160,
Grand Haven, MI 49417-2654
Ph: (616) 268-2001 |
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