Dr Rafael Torres, MD - Medicare Family Practice in Grand Rapids, MI

Dr Rafael Torres, MD is a medicare enrolled "Family Medicine" physician in Grand Rapids, Michigan. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Harbour Towne Health Pllc, Newaygo County General Hospital Association and his current practice location is 80 68th St Se, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 391-8242.

Dr Rafael Torres is licensed to practice in Michigan (license number 4301057250) 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 1487745980.

Contact Information

Dr Rafael Torres, MD
80 68th St Se,
Grand Rapids, MI 49548-6980
(616) 391-8242
(616) 391-8317

Map and Direction




Physician's Profile

Full NameDr Rafael Torres
GenderMale
SpecialityFamily Practice
Experience38 Years
Location80 68th St Se, Grand Rapids, Michigan
Accepts Medicare AssignmentsYes. 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 Rafael Torres graduated from medical school in 1986
  NPI Data:
  • NPI Number: 1487745980
  • Provider Enumeration Date: 09/27/2006
  • Last Update Date: 03/30/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7416923305
  • Enrollment ID: I20040902000359

Medical Identifiers

Medical identifiers for Dr Rafael Torres such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487745980NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4301057250 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bristol Bay Area Health CorporationDillingham, AKHospital
Spectrum Health Gerber MemorialFremont, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Harbour Towne Health Pllc357786174911
Newaygo County General Hospital Association488050305137

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 Rafael Torres allows following entities to bill medicare on his behalf.
Entity NameSpectrum Health Primary Care Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235188673
PECOS PAC ID: 4587568647
Enrollment ID: O20031121000091
Entity NameNewaygo County General Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750404927
PECOS PAC ID: 4880503051
Enrollment ID: O20040423001232
Entity NameHarbour Towne Health Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649647876
PECOS PAC ID: 3577861749
Enrollment ID: O20160421000920

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 Rafael Torres 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 AddressPractice Location Address
Dr Rafael Torres, MD
100 Michigan St Ne # Mc845,
Grand Rapids, MI 49503-2560

Ph: (616) 486-6790
Dr Rafael Torres, MD
80 68th St Se,
Grand Rapids, MI 49548-6980

Ph: (616) 391-8242

Reviews and Comments


Family Medicine Doctors in Grand Rapids, MI

Tammy Born Huizenga, D.O.
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Kristi Kern, D.O.
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Michael J Septer, D.O.
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Phone: 616-956-9400    Fax: 616-956-9708
Dr. Suzanne Michelle West, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 3800 Lake Michigan Dr Nw, Ste. A, Grand Rapids, MI 49534
Phone: 616-267-8225    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.