Randall L Wolthuis, PHD is a medicare enrolled "Psychologist - Clinical" provider in Alto, Michigan. His current practice location is
8202 Triple L Trl Se, Alto, Michigan. You can reach out to his office (for appointments etc.) via phone at
(616) 275-2113.
Randall L Wolthuis is licensed to practice in Michigan (license number 6301006480) 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 1639390743.
Healthcare Provider's Profile
Full Name | Randall L Wolthuis |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 8202 Triple L Trl Se, Alto, Michigan |
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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:
- Randall L Wolthuis attended and graduated from in
NPI Data:
- NPI Number: 1639390743
- Provider Enumeration Date: 05/02/2007
- Last Update Date: 03/21/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Randall L Wolthuis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639390743 | NPI | - | NPPES |
680D145940 | Other | MI | BCBS PIN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 6301006480 (Michigan) | Primary |
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. Randall L Wolthuis 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 |
Randall L Wolthuis, PHD 1000 Parchment Drive Se, Grand Rapids, MI 49546-3663 Ph: (616) 957-9112 | Randall L Wolthuis, PHD 8202 Triple L Trl Se, Alto, MI 49302-9551 Ph: (616) 275-2113 |
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