Dr Nicholas L Hartog, MD in Grand Rapids, MI - Medicare Allergy/immunology

Dr Nicholas L Hartog, MD is a medicare enrolled "Allergy & Immunology" physician in Grand Rapids, Michigan. He went to Medical College Of Wisconsin and graduated in 2011 and has 13 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Spectrum Health Primary Care Partners and his current practice location is 3271 Clear Vista Ct Ne, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 267-7125.

Dr Nicholas L Hartog is licensed to practice in Michigan (license number 4301108955) 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 1669766325.

Contact Information

	Dr Nicholas L Hartog, MD
	3271 Clear Vista Ct Ne, Grand Rapids, MI 49525-9477
	(616) 267-7125
	(616) 267-9593

Map and Direction

Physician's Profile

Full Name	Dr Nicholas L Hartog
Gender	Male
Speciality	Allergy/immunology
Experience	13 Years
Location	3271 Clear Vista Ct Ne, 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:

Dr Nicholas L Hartog attended and graduated from Medical College Of Wisconsin in 2011

NPI Data:

NPI Number: 1669766325
Provider Enumeration Date: 05/30/2011
Last Update Date: 03/17/2021

Medicare PECOS Information:

PECOS PAC ID: 4284860073
Enrollment ID: I20160712000142

Medical Identifiers

Medical identifiers for Dr Nicholas L Hartog such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669766325	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207K00000X	Allergy & Immunology	2014010402 (Missouri)	Secondary
207K00000X	Allergy & Immunology	4301108955 (Michigan)	Primary
207R00000X	Internal Medicine	R-9168 (Iowa)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Spectrum Health	Grand rapids, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Spectrum Health Primary Care Partners	4587568647	1585

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 Nicholas L Hartog allows following entities to bill medicare on his behalf.

Entity Name	Spectrum Health Primary Care Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091

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 Nicholas L Hartog 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 Nicholas L Hartog, MD 100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560 Ph: () -	Dr Nicholas L Hartog, MD 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525-9477 Ph: (616) 267-7125

Reviews and Comments

Allergy & Immunology Doctors in Grand Rapids, MI

Raymond Gonzalez, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525 Phone: 616-267-7125 Fax: 616-267-9593
Christine M Schafer, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 970 Parchment Drive Se, Suite 203, Grand Rapids, MI 49546 Phone: 616-949-4840 Fax: 616-949-3531
Nancy J Brooke, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1525 E Beltline Ave Ne, Ste 102, Grand Rapids, MI 49525 Phone: 616-447-7200 Fax: 616-447-9773
Dr. Vincent A Dubravec, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 5055 Plainfield Ave Ne, Suite C, Grand Rapids, MI 49525 Phone: 616-988-8515
Jacqueline Eastman Yam, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525 Phone: 616-267-7125
Sara J Uekert, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 970 Parchment Dr Se, Suite 203, Grand Rapids, MI 49546 Phone: 616-949-4840 Fax: 616-949-3531
Richard Roy Townley, M.D. Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 3625 Clyde Park Ave Sw, Suite 1, Grand Rapids, MI 49509 Phone: 616-531-6900 Fax: 616-531-5847

Dr Nicholas L Hartog, MD - Medicare Allergy/immunology in Grand Rapids, MI