Mr Jack A Kooienga, APRN in Wyoming, MI - Medicare Nurse Practitioner

Mr Jack A Kooienga, APRN is a medicare enrolled "Nurse Practitioner - Acute Care" in Wyoming, Michigan. He graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Florida Hospital Medical Group Inc and his current practice location is 5900 Byron Center Ave Sw, Wyoming, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 252-7200.

Mr Jack A Kooienga is licensed to practice in Florida (license number APRN11012762) 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 1518216308.

Contact Information

	Mr Jack A Kooienga, APRN
	5900 Byron Center Ave Sw, Wyoming, MI 49519-9606
	(616) 252-7200
	(616) 252-7830

Map and Direction

Provider's Profile

Full Name	Mr Jack A Kooienga
Gender	Male
Speciality	Nurse Practitioner
Experience	21 Years
Location	5900 Byron Center Ave 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.

Medical Education and Training:

Mr Jack A Kooienga graduated from nursing school in 2003

NPI Data:

NPI Number: 1518216308
Provider Enumeration Date: 09/07/2012
Last Update Date: 08/09/2021

Medicare PECOS Information:

PECOS PAC ID: 6406000876
Enrollment ID: I20210602003183

Medical Identifiers

Medical identifiers for Mr Jack A Kooienga such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518216308	NPI	-	NPPES
110773300	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LC0200X	Nurse Practitioner - Critical Care Medicine	4704218318 (Michigan)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	APRN11012762 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventhealth Heart Of Florida	Davenport, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Florida Hospital Medical Group Inc	0749186153	1034

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. Mr Jack A Kooienga allows following entities to bill medicare on his behalf.

Entity Name	Florida Hospital Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807

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. Mr Jack A Kooienga 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
Mr Jack A Kooienga, APRN 985 Gezon Pkwy Sw, Wyoming, MI 49509-9563 Ph: (616) 252-4655	Mr Jack A Kooienga, APRN 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 Ph: (616) 252-7200

Reviews and Comments

Nurse Practitioner Nurses in Wyoming, MI

Cassandra Paige Fritch, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200
Mrs. Kelly Ann Murphy, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 269-207-7617
Alyssa Rogers, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2122 Health Dr Sw, Wyoming, MI 49519 Phone: 616-252-5950
Mrs. Maranda Catherine Gary, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2122 Health Drive, Wyoming, MI 49519 Phone: 616-252-5790 Fax: 616-252-5793
Ron Van Beek, FNP - BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2122 Health Dr Sw Ste 110, Wyoming, MI 49519 Phone: 616-252-7494
Mr. Gregory Lappetito, AGAC-NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2093 Health Dr Sw, Wyoming, MI 49519 Phone: 616-252-5775
Dean Price, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2122 Health Dr Sw, Wyoming, MI 49519 Phone: 616-252-7494 Fax: 616-252-7830

Mr Jack A Kooienga, APRN - Medicare Nurse Practitioner in Wyoming, MI