Bruce Kevin Retterath, PHD in Grand Rapids, MI - Medicare Psychologist Provider

Bruce Kevin Retterath, PHD is a medicare enrolled "Psychologist" provider in Grand Rapids, Michigan. His current practice location is 300 68th St Se, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 455-5000.

Bruce Kevin Retterath is licensed to practice in Michigan (license number 6301009368) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568477842.

Contact Information

	Bruce Kevin Retterath, PHD
	300 68th St Se, Grand Rapids, MI 49548-6927
	(616) 455-5000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Bruce Kevin Retterath
Gender	Male
Speciality	Psychologist
Location	300 68th St Se, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568477842
Provider Enumeration Date: 07/29/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 1759577596
Enrollment ID: I20101119000104

Medical Identifiers

Medical identifiers for Bruce Kevin Retterath such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568477842	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	6301009368 (Michigan)	Primary

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. Bruce Kevin Retterath allows following entities to bill medicare on his behalf.

Entity Name	Pine Rest Christian Mental Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780695411 PECOS PAC ID: 4981506508 Enrollment ID: O20040213000149

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. Bruce Kevin Retterath 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
Bruce Kevin Retterath, PHD 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5000	Bruce Kevin Retterath, PHD 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5000

Reviews and Comments

Psychologist in Grand Rapids, MI

Dynetta Clark, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 805 Leonard St Ne, Grand Rapids, MI 49503 Phone: 616-451-2021 Fax: 616-774-1001
Mrs. Amy E Pugh, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503 Phone: 616-267-2830 Fax: 616-267-9024
Meghan Cytacki-lewis, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 333 Bridge St Nw Ste 1120, Grand Rapids, MI 49504 Phone: 616-805-3660
Michelle Marie Muenzenmeyer, LLP, CHMC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2020 Raybrook St Se Ste 102-1, Grand Rapids, MI 49546 Phone: 616-795-0900 Fax: 616-795-0899
Jehricole Olenzuk, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 829 Forest Hill Ave Se, Grand Rapids, MI 49546 Phone: 616-949-2410
Adrian Hernandez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 360 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49506 Phone: 616-805-3660
Marcia Hollingsworth, EDD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1870 Leonard Ne, Grand Rapids, MI 49505 Phone: 616-956-1122 Fax: 616-956-8033

Bruce Kevin Retterath, PHD - Medicare Psychologist in Grand Rapids, MI