Nicole M Bossenbroek, MD - Medicare Dermatology in Norton Shores, MI

  1. Home
  2. Dermatology
  3. MI
  4. Norton Shores
Nicole M Bossenbroek, MD is a medicare enrolled "Dermatology - Dermatopathology" physician in Norton Shores, Michigan. She went to Medical College Of Wisconsin and graduated in 2002 and has 23 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Derm Institute Of West Michigan Plc and her current practice location is 6225 Prairie St, Norton Shores, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 798-9500.

Nicole M Bossenbroek is licensed to practice in Connecticut (license number 046274) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619909611.

Contact Information

Nicole M Bossenbroek, MD
6225 Prairie St,
Norton Shores, MI 49444-7831
(231) 798-9500
(231) 798-9533

Map and Direction




Physician's Profile

Full NameNicole M Bossenbroek
GenderFemale
SpecialityDermatology
Experience23 Years
Location6225 Prairie St, Norton Shores, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole M Bossenbroek attended and graduated from Medical College Of Wisconsin in 2002
  NPI Data:
  • NPI Number: 1619909611
  • Provider Enumeration Date: 07/07/2006
  • Last Update Date: 02/16/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 1254344567
  • Enrollment ID: I20070323000009

Medical Identifiers

Medical identifiers for Nicole M Bossenbroek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619909611NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ND0900XDermatology - Dermatopathology 046274 (Connecticut)Primary
207ND0900XDermatology - Dermatopathology 4301079716 (Michigan)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Spectrum HealthGrand rapids, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Derm Institute Of West Michigan Plc50920444877

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. Nicole M Bossenbroek allows following entities to bill medicare on her behalf.
Entity NameLakeshore Derm & Laser Center Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538209945
PECOS PAC ID: 5799793006
Enrollment ID: O20060329000031
Entity NameDerm Institute Of West Michigan Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003460874
PECOS PAC ID: 5092044487
Enrollment ID: O20190910003225

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. Nicole M Bossenbroek 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
Nicole M Bossenbroek, MD
6225 Prairie St,
Norton Shores, MI 49444-7831

Ph: (231) 798-9500		Nicole M Bossenbroek, MD
6225 Prairie St,
Norton Shores, MI 49444-7831

Ph: (231) 798-9500

Reviews and Comments


Dermatology Doctors in Norton Shores, MI

Timothy S Wang, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 6225 Prairie St, Norton Shores, MI 49444
Phone: 231-798-9500    Fax: 231-798-9533
Dr. Jason Barrett Van Ittersum, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 6225 Prairie St, Norton Shores, MI 49444
Phone: 231-798-9500    Fax: 231-798-9533
Robert A Gielczyk, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 6225 Prairie St, Norton Shores, MI 49444
Phone: 231-798-9500    Fax: 231-798-9533

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.