Mason Jon Witte, NP - Medicare Nurse Practitioner in Grand Rapids, MI

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Mason Jon Witte, NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Grand Rapids, Michigan. His current practice location is 2902 Bradford St Ne, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 885-5200.

Mason Jon Witte is licensed to practice in Michigan (license number 4704351728) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770283988.

Contact Information

Mason Jon Witte, NP
2902 Bradford St Ne,
Grand Rapids, MI 49525-6427
(616) 885-5200
Not Available

Map and Direction




Provider's Profile

Full NameMason Jon Witte
GenderMale
SpecialityNurse Practitioner - Gerontology
Location2902 Bradford St Ne, Grand Rapids, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770283988
  • Provider Enumeration Date: 03/06/2023
  • Last Update Date: 08/25/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6406206853
  • Enrollment ID: I20231227001141

Medical Identifiers

Medical identifiers for Mason Jon Witte such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770283988NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 4704351728 (Michigan)Primary

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. Mason Jon Witte allows following entities to bill medicare on his behalf.
Entity NameNorthview Medical House Calls Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336447002
PECOS PAC ID: 9537345400
Enrollment ID: O20110511000431
Entity NameNorthview Health Specialists, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629558978
PECOS PAC ID: 9638422835
Enrollment ID: O20181105000977
Entity NameCareline Palliative Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801367073
PECOS PAC ID: 3678810439
Enrollment ID: O20190131003407
Entity NameCareconnectmd Michigan P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477288348
PECOS PAC ID: 4082096276
Enrollment ID: O20220804001935

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. Mason Jon Witte 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
Mason Jon Witte, NP
100 Michigan St Ne # Mc845,
Grand Rapids, MI 49503-2560

Ph: () -		Mason Jon Witte, NP
2902 Bradford St Ne,
Grand Rapids, MI 49525-6427

Ph: (616) 885-5200

Reviews and Comments


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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.