Alicia Beth Vanden Bussche Jantz, PHD - Medicare in Grand Rapids, MI

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Alicia Beth Vanden Bussche Jantz, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Grand Rapids, Michigan. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Spectrum Health Primary Care Partners and her current practice location is 2750 E Beltline Ave Ne Fl 3, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 267-7104.

Alicia Beth Vanden Bussche Jantz is licensed to practice in Michigan (license number 6301018407) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144678020.

Contact Information

Alicia Beth Vanden Bussche Jantz, PHD
2750 E Beltline Ave Ne Fl 3,
Grand Rapids, MI 49525-8614
(616) 267-7104
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAlicia Beth Vanden Bussche Jantz
GenderFemale
SpecialityClinical Psychologist
Experience6 Years
Location2750 E Beltline Ave Ne Fl 3, Grand Rapids, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Alicia Beth Vanden Bussche Jantz graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1144678020
  • Provider Enumeration Date: 06/01/2016
  • Last Update Date: 02/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5698194819
  • Enrollment ID: I20201007001282

Medical Identifiers

Medical identifiers for Alicia Beth Vanden Bussche Jantz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144678020NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 6301018407 (Michigan)Secondary
103G00000XClinical Neuropsychologist 6301018407 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Spectrum HealthGrand rapids, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Spectrum Health Primary Care Partners45875686471590

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. Alicia Beth Vanden Bussche Jantz allows following entities to bill medicare on her behalf.
Entity NameSpectrum Health Primary Care Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235188673
PECOS PAC ID: 4587568647
Enrollment ID: O20031121000091

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. Alicia Beth Vanden Bussche Jantz 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
Alicia Beth Vanden Bussche Jantz, PHD
100 Michigan St Ne # Mc845,
Grand Rapids, MI 49503-2560

Ph: () -		Alicia Beth Vanden Bussche Jantz, PHD
2750 E Beltline Ave Ne Fl 3,
Grand Rapids, MI 49525-8614

Ph: (616) 267-7104

Reviews and Comments



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.