| James R Lebolt, DO | |
|
2770 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 | |
| (616) 267-8860 | |
| (616) 267-8442 |
| Full Name | James R Lebolt |
|---|---|
| Gender | Male |
| Speciality | Sports Medicine |
| Experience | 24 Years |
| Location | 2770 E Beltline Ave 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245331941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 5101015061 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Spectrum Health | Grand rapids, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Center For Physical Rehabilitation And Therapy Lp | 0941513303 | 225 |
| Spectrum Health Primary Care Partners | 4587568647 | 1735 |
| Center For Physical Rehabilitation Inc | 6901717768 | 217 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| James R Lebolt, DO 100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560 Ph: () - | James R Lebolt, DO 2770 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 Ph: (616) 267-8860 |
Dr. Charles D Bukrey, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1111 Leffingwell Ave Ne, Suite 100, Grand Rapids, MI 49525 Phone: 616-459-7101 Fax: 616-464-6170 | |
John Mahajan, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2770 E Beltline Ave Ne, Grand Rapids, MI 49525 Phone: 616-267-8860 | |
Kurt Thomas Geffken, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525 Phone: 616-459-7101 Fax: 616-464-6170 | |
Walter M Braunohler, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4100 Lake Dr Se, Suite 300, Grand Rapids, MI 49546 Phone: 616-267-8860 Fax: 616-267-8442 | |
Scott David Burgess, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Leffingwell Ave Ne, Suite 200, Grand Rapids, MI 49525 Phone: 616-459-7101 Fax: 616-464-6170 | |
Viet Huu Do, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Leffingwell Ne, Suite 200, Grand Rapids, MI 49525 Phone: 616-459-7101 | |
Daniel Edward Hess, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2770 E Beltline Ave Ne, Grand Rapids, MI 49525 Phone: 616-267-8860 |