Dr Duane Allen Tolsma, OD - Medicare Optometrist in Saint Joseph, MI

Dr Duane Allen Tolsma, OD is a medicare enrolled "Optometrist" provider in Saint Joseph, Michigan. He went to Ferris State College - College Of Optometry and graduated in 1988 and has 36 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Great Lakes Eye Care Pc and his current practice location is 2848 Niles Rd, Saint Joseph, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 428-3300.

Dr Duane Allen Tolsma is licensed to practice in Michigan (license number 4901003188) 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 1306841630.

Contact Information

Dr Duane Allen Tolsma, OD
2848 Niles Rd,
Saint Joseph, MI 49085-3352
(269) 428-3300
(269) 428-5005

Map and Direction




Healthcare Provider's Profile

Full NameDr Duane Allen Tolsma
GenderMale
SpecialityOptometry
Experience36 Years
Location2848 Niles Rd, Saint Joseph, 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:
  • Dr Duane Allen Tolsma attended and graduated from Ferris State College - College Of Optometry in 1988
  NPI Data:
  • NPI Number: 1306841630
  • Provider Enumeration Date: 06/14/2005
  • Last Update Date: 04/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6800911728
  • Enrollment ID: I20100916000126

Medical Identifiers

Medical identifiers for Dr Duane Allen Tolsma such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306841630NPI-NPPES
1956841MedicaidMI
944911629MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 4901003188 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Great Lakes Eye Care Pc842609199211

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. Dr Duane Allen Tolsma allows following entities to bill medicare on his behalf.
Provider NameGreat Lakes Eye Care Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1922002708
PECOS PAC ID: 8426091992
Enrollment ID: O20060131000866

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. Dr Duane Allen Tolsma 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
Dr Duane Allen Tolsma, OD
2848 Niles Rd,
Saint Joseph, MI 49085-3352

Ph: (269) 428-3300
Dr Duane Allen Tolsma, OD
2848 Niles Rd,
Saint Joseph, MI 49085-3352

Ph: (269) 428-3300

Reviews and Comments


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Dr. Daniel James Van Elk, OD
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Medicare: Accepting Medicare Assignments
Practice Location: 2848 Niles Rd, Saint Joseph, MI 49085
Phone: 269-428-3300    Fax: 269-428-5005

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.