Edwin T Kornoelje, DO in Grand Rapids, MI

Edwin T Kornoelje, DO is a medicare enrolled "Family Medicine - Sports Medicine" physician in Grand Rapids, Michigan. He went to Michigan State University College Of Osteopathic Medicine and graduated in 1995 and has 30 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Center For Physical Rehabilitation And Therapy Lp, Metropolitan Hospital, Center For Physical Rehabilitation Inc and his current practice location is 4300 Cascade Rd Se, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 252-1500.

Edwin T Kornoelje is licensed to practice in Michigan (license number 5101012620) 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 1023071727.

Contact Information

	Edwin T Kornoelje, DO
	4300 Cascade Rd Se, Grand Rapids, MI 49546-8328
	(616) 252-1500
	(616) 252-1599

Map and Direction

Physician's Profile

Full Name	Edwin T Kornoelje
Gender	Male
Speciality	Family Practice
Experience	30 Years
Location	4300 Cascade Rd Se, 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:

Edwin T Kornoelje attended and graduated from Michigan State University College Of Osteopathic Medicine in 1995

NPI Data:

NPI Number: 1023071727
Provider Enumeration Date: 04/11/2006
Last Update Date: 12/05/2017

Medicare PECOS Information:

PECOS PAC ID: 8224008404
Enrollment ID: I20040727000258

Medical Identifiers

Medical identifiers for Edwin T Kornoelje such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023071727	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	5101012620 (Michigan)	Secondary
2081S0010X	Physical Medicine & Rehabilitation - Sports Medicine	5101012620 (Michigan)	Secondary
207QS0010X	Family Medicine - Sports Medicine	5101012620 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Metro Health Hospital	Wyoming, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Center For Physical Rehabilitation And Therapy Lp	0941513303	225
Metropolitan Hospital	5597651836	382
Center For Physical Rehabilitation Inc	6901717768	217

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. Edwin T Kornoelje allows following entities to bill medicare on his behalf.

Entity Name	Metropolitan Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811937519 PECOS PAC ID: 5597651836 Enrollment ID: O20040507000012

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. Edwin T Kornoelje 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
Edwin T Kornoelje, DO 5900 Byron Center Ave Sw, Medical Administration, Wyoming, MI 49519-9606 Ph: (616) 252-3243	Edwin T Kornoelje, DO 4300 Cascade Rd Se, Grand Rapids, MI 49546-8328 Ph: (616) 252-1500

Reviews and Comments

Family Medicine Doctors in Grand Rapids, MI

Tammy Born Huizenga, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3700 52nd St Se, Grand Rapids, MI 49512 Phone: 616-656-3700 Fax: 616-656-3701
Kristi Kern, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4300 Cascade Rd Se, Grand Rapids, MI 49546 Phone: 616-252-1500 Fax: 616-252-1599
Melody L Fitzer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Blackberry Ln Ne, Grand Rapids, MI 49525 Phone: 616-361-8697
Leslie Ann Schulte, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2249 Wealthy St Se Ste 110, Grand Rapids, MI 49506 Phone: 616-391-4600
Lucas Patrick Friedli, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4100 Lake Dr Se Ste B01, Grand Rapids, MI 49546 Phone: 616-267-7400
Michael J Septer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2335 Burton St Se Ste 130, Grand Rapids, MI 49506 Phone: 616-956-9400 Fax: 616-956-9708
Dr. Suzanne Michelle West, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3800 Lake Michigan Dr Nw, Ste. A, Grand Rapids, MI 49534 Phone: 616-267-8225

Edwin T Kornoelje, DO - Medicare Family Practice in Grand Rapids, MI