David Tetsuji Ishiyama, MD in Grand Rapids, MI

David Tetsuji Ishiyama, MD is a medicare enrolled "Emergency Medicine" physician in Grand Rapids, Michigan. He went to Michigan State University College Of Human Medicine and graduated in 2010 and has 15 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Iep Observation Medicine - Jackson Pllc and his current practice location is 1000 Monroe Ave Nw, Grmep, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 391-8879.

David Tetsuji Ishiyama is licensed to practice in Michigan (license number 4301096372) 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 1407177884.

Contact Information

	David Tetsuji Ishiyama, MD
	1000 Monroe Ave Nw, Grmep, Grand Rapids, MI 49503-1455
	(616) 391-8879
	Not Available

Map and Direction

Physician's Profile

Full Name	David Tetsuji Ishiyama
Gender	Male
Speciality	Emergency Medicine
Experience	15 Years
Location	1000 Monroe Ave Nw, Grand Rapids, Michigan
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:

David Tetsuji Ishiyama attended and graduated from Michigan State University College Of Human Medicine in 2010

NPI Data:

NPI Number: 1407177884
Provider Enumeration Date: 06/19/2010
Last Update Date: 05/31/2013

Medicare PECOS Information:

PECOS PAC ID: 6800037193
Enrollment ID: I20130730000120

Medical Identifiers

Medical identifiers for David Tetsuji Ishiyama such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407177884	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	4301096372 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Henry Ford Allegiance Health	Jackson, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Iep Observation Medicine - Jackson Pllc	6800234592	23

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. David Tetsuji Ishiyama allows following entities to bill medicare on his behalf.

Entity Name	Independent Emergency Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780791343 PECOS PAC ID: 6709798325 Enrollment ID: O20031103000407

Entity Name	W.a. Foote Memorial Hospital, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265487722 PECOS PAC ID: 0244136067 Enrollment ID: O20031215000808

Entity Name	Independent Observation Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700119500 PECOS PAC ID: 3577603604 Enrollment ID: O20091221000327

Entity Name	Iep Observation Medicine - Jackson Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982478251 PECOS PAC ID: 6800234592 Enrollment ID: O20240401000555

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. David Tetsuji Ishiyama 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
David Tetsuji Ishiyama, MD 44650 Danbury Rd, Canton, MI 48188-1050 Ph: () -	David Tetsuji Ishiyama, MD 1000 Monroe Ave Nw, Grmep, Grand Rapids, MI 49503-1455 Ph: (616) 391-8879

Reviews and Comments

Emergency Medicine Doctors in Grand Rapids, MI

Kristin Inger, M.D. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 145 Michigan St Ne Ste 3410, Grand Rapids, MI 49503 Phone: 616-391-9945
Dr. Adam Michael Anderson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-685-5000
Mark Greenwood, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne, Mc 71, Grand Rapids, MI 49503 Phone: 616-391-5310
Raymond Scurek, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1680 Fax: 616-285-0846
Mark G Kanitz, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1680
Dr. Calista Kaitlyn Prohaska, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne # Mc188, Grand Rapids, MI 49503 Phone: 616-391-1680
Dr. Sara Rish Urquhart, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1840 Wealthy St Se, Grand Rapids, MI 49506 Phone: 616-391-1730 Fax: 616-285-0846

David Tetsuji Ishiyama, MD - Medicare Emergency Medicine in Grand Rapids, MI