Dr Jay Allen Lugthart, MD is a
General Practice physician based in Jenison, Michigan. Dr Jay Allen Lugthart is licensed to practice in Michigan (license number JL039848) and his current practice location is 670 Baldwin St, Jenison, Michigan. He can be reached at his office (for appointments etc.) via phone at
(616) 457-4610.
NPI number for Dr Jay Allen Lugthart is 1215059241 and his current mailing address is 4419 68th St Sw, Byron Center, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215059241.
Physician's Profile
| Full Name | Dr Jay Allen Lugthart |
|---|
| Gender | Male |
|---|
| Speciality | General Practice |
|---|
| Location | 670 Baldwin St, Jenison, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215059241
- Provider Enumeration Date: 04/03/2007
- Last Update Date: 04/01/2008
Medical Identifiers
Medical identifiers for Dr Jay Allen Lugthart such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215059241 | NPI | - | NPPES |
| 114151PC | Other | | CCPPO, CHMO, MERCY HEALTH |
| 121787 | Other | | HEALR |
| 152756 | Other | | PHCS |
| 4099325 | Other | | AETNA |
| 0107011492 | Other | | BCBS |
| B44069 | Other | MI | PRIORITY HEALTH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | JL039848 (Michigan) | Primary |
| 207QG0300X | Family Medicine - Geriatric Medicine | JL039848 (Michigan) | Secondary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | JL039848 (Michigan) | Secondary |
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 Jay Allen Lugthart is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jay Allen Lugthart, MD
4419 68th St Sw,
Byron Center, MI 49315-9428
Ph: () - | Dr Jay Allen Lugthart, MD
670 Baldwin St,
Jenison, MI 49428-9757
Ph: (616) 457-4610 |
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