Dr Jason Barrett Van Ittersum, MD in Norton Shores, MI

Dr Jason Barrett Van Ittersum, MD is a medicare enrolled "Dermatology" physician in Norton Shores, Michigan. He went to University Of Michigan Medical School and graduated in 1999 and has 26 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Forefront Dermatology Sc and his current practice location is 6225 Prairie St, Norton Shores, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 798-9500.

Dr Jason Barrett Van Ittersum is licensed to practice in Michigan (license number 4301074360) 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 1750303079.

Contact Information

	Dr Jason Barrett Van Ittersum, MD
	6225 Prairie St, Norton Shores, MI 49444-7831
	(231) 798-9500
	(231) 798-9533

Map and Direction

Physician's Profile

Full Name	Dr Jason Barrett Van Ittersum
Gender	Male
Speciality	Dermatology
Experience	26 Years
Location	6225 Prairie St, Norton Shores, 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:

Dr Jason Barrett Van Ittersum attended and graduated from University Of Michigan Medical School in 1999

NPI Data:

NPI Number: 1750303079
Provider Enumeration Date: 07/24/2006
Last Update Date: 03/28/2024

Medicare PECOS Information:

PECOS PAC ID: 9537051677
Enrollment ID: I20040325000739

Medical Identifiers

Medical identifiers for Dr Jason Barrett Van Ittersum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750303079	NPI	-	NPPES
4532162	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207NS0135X	Dermatology - Procedural Dermatology	JV074360 (Michigan)	Secondary
207N00000X	Dermatology	4301074360 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Health Hackley Campus	Muskegon, MI	Hospital
Mercy Health Saint Mary's	Grand rapids, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Forefront Dermatology Sc	3779471701	568

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. Dr Jason Barrett Van Ittersum allows following entities to bill medicare on his behalf.

Entity Name	Lakeshore Derm & Laser Center Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538209945 PECOS PAC ID: 5799793006 Enrollment ID: O20060329000031

Entity Name	Forefront Dermatology Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912347923 PECOS PAC ID: 3779471701 Enrollment ID: O20131025001403

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. Dr Jason Barrett Van Ittersum 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
Dr Jason Barrett Van Ittersum, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008	Dr Jason Barrett Van Ittersum, MD 6225 Prairie St, Norton Shores, MI 49444-7831 Ph: (231) 798-9500

Reviews and Comments

Dermatology Doctors in Norton Shores, MI

Timothy S Wang, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6225 Prairie St, Norton Shores, MI 49444 Phone: 231-798-9500 Fax: 231-798-9533
Nicole M. Bossenbroek, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6225 Prairie St, Norton Shores, MI 49444 Phone: 231-798-9500 Fax: 231-798-9533
Robert A Gielczyk, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6225 Prairie St, Norton Shores, MI 49444 Phone: 231-798-9500 Fax: 231-798-9533

Dr Jason Barrett Van Ittersum, MD - Medicare Dermatology in Norton Shores, MI