Grand Valley Medical Specialists Plc - Medicare Primary Care in Grand Rapids, MI

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Grand Valley Medical Specialists Plc is a medicare enrolled primary clinic (Internal Medicine) in Grand Rapids, Michigan. The current practice location for Grand Valley Medical Specialists Plc is 1000 East Paris Ave Se Ste 100, Grand Rapids, Michigan. For appointments, you can reach them via phone at (616) 459-3158. The mailing address for Grand Valley Medical Specialists Plc is 1000 East Paris Ave Se Ste 100, Grand Rapids, Michigan and phone number is (616) 459-3158.

Grand Valley Medical Specialists Plc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1033226402. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (616) 459-3158.

Contact Information

Grand Valley Medical Specialists Plc
1000 East Paris Ave Se Ste 100
Grand Rapids
MI 49546-3680
(616) 459-3158
(616) 742-6758

Map and Direction


Primary Care Clinic Profile

Full NameGrand Valley Medical Specialists Plc
SpecialityInternal Medicine
Location1000 East Paris Ave Se Ste 100, Grand Rapids, Michigan
Authorized Official Name and PositionJoanne Reynolds (CREDENTIALING SPECIALIST)
Authorized Official Contact6162354800
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Grand Valley Medical Specialists Plc
1000 East Paris Ave Se Ste 100
Grand Rapids
MI 49546-3680

Ph: (616) 459-3158		Grand Valley Medical Specialists Plc
1000 East Paris Ave Se Ste 100
Grand Rapids
MI 49546-3680

Ph: (616) 459-3158

NPI Details:

NPI Number1033226402
Provider Enumeration Date08/23/2006
Last Update Date11/06/2023

Medicare PECOS Information:

Medicare PECOS PAC ID1254311947
Medicare Enrollment IDO20040722001223

Medical Identifiers

Medical identifiers for Grand Valley Medical Specialists Plc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033226402NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
207RG0100XInternal Medicine - Gastroenterology (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Grand Valley Medical Specialists Plc acts as a billing entity for following providers:
Provider NameJohn W Hamersma
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033108329
PECOS PAC ID: 4688664527
Enrollment ID: I20040513001013
Provider NameStephen J Macedo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841294477
PECOS PAC ID: 6406824333
Enrollment ID: I20040920000305
Provider NameJoyce Marie Jensen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013024983
PECOS PAC ID: 8123036829
Enrollment ID: I20060322000233
Provider NameDaniel Raymond Drumm
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003991324
PECOS PAC ID: 1456368000
Enrollment ID: I20070626000376
Provider NameMichael J Bultje
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144224882
PECOS PAC ID: 6709937014
Enrollment ID: I20090626000379
Provider NameThomas V Bilisko
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275537011
PECOS PAC ID: 1254472715
Enrollment ID: I20100105000728
Provider NameRobert D Lang
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1871597377
PECOS PAC ID: 7214062934
Enrollment ID: I20100319000844
Provider NameDavid Michael Mcgrath
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275640229
PECOS PAC ID: 9032125885
Enrollment ID: I20100918000289
Provider NameMelonie Sue Ice
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316054414
PECOS PAC ID: 3971519729
Enrollment ID: I20100924000717
Provider NameBruce Alan Langerak
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467569475
PECOS PAC ID: 2769498518
Enrollment ID: I20100925000041
Provider NameGary Norman Humphries
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962519041
PECOS PAC ID: 4981611449
Enrollment ID: I20100925000086
Provider NameElizabeth Brouwer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295788552
PECOS PAC ID: 5496857666
Enrollment ID: I20101109000712
Provider NameDavid Francis Lieuwen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043214414
PECOS PAC ID: 9335130806
Enrollment ID: I20110818000921
Provider NameEmily S Haligowski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518243278
PECOS PAC ID: 4082881453
Enrollment ID: I20120125000953
Provider NameDaniel William Bergner
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538306659
PECOS PAC ID: 8527208016
Enrollment ID: I20151014001407
Provider NameJared Langerak
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497169635
PECOS PAC ID: 4981824281
Enrollment ID: I20160928001473
Provider NameAnda B Scorza
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699068130
PECOS PAC ID: 3779873864
Enrollment ID: I20170818002137
Provider NameMegan Jean Madole
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639609407
PECOS PAC ID: 9537431796
Enrollment ID: I20170823000434
Provider NameAndrew J Vollmar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386061604
PECOS PAC ID: 4385966225
Enrollment ID: I20171018002497
Provider NameJordan Richard Cantor
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902288772
PECOS PAC ID: 1456609445
Enrollment ID: I20180808000617
Provider NameDaniel Merck
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164080669
PECOS PAC ID: 6800292061
Enrollment ID: I20210914000799
Provider NameMichael K Hofman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710541404
PECOS PAC ID: 2860727146
Enrollment ID: I20231027000914

Reviews and Comments


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Phone: 616-942-6230    Fax: 616-942-6270

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.