Internal Medicine And Pediatrics Of West Michigan - Medicare Primary Care in Grand Rapids, MI

Internal Medicine And Pediatrics Of West Michigan is a medicare enrolled primary clinic (Internal Medicine) in Grand Rapids, Michigan. The current practice location for Internal Medicine And Pediatrics Of West Michigan is 655 Kenmoor Ave Se, Suite 200, Grand Rapids, Michigan. For appointments, you can reach them via phone at (616) 363-7690. The mailing address for Internal Medicine And Pediatrics Of West Michigan is 655 Kenmoor Ave Se, Suite 200, Grand Rapids, Michigan and phone number is (616) 363-7690.

Internal Medicine And Pediatrics Of West Michigan is licensed to practice in Michigan (license number 4301071009). The clinic also participates in the medicare program and its NPI number is 1104170661. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (616) 363-7690.

Contact Information

Internal Medicine And Pediatrics Of West Michigan
655 Kenmoor Ave Se
Suite 200
Grand Rapids
MI 49546
(616) 363-7690
(616) 942-8917

Map and Direction


Primary Care Clinic Profile

Full NameInternal Medicine And Pediatrics Of West Michigan
SpecialityInternal Medicine
Location655 Kenmoor Ave Se, Grand Rapids, Michigan
Authorized Official Name and PositionDeanna Rawlings (OFFICE MANAGER)
Authorized Official Contact6163233227
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Internal Medicine And Pediatrics Of West Michigan
655 Kenmoor Ave Se
Suite 200
Grand Rapids
MI 49546

Ph: (616) 363-7690
Internal Medicine And Pediatrics Of West Michigan
655 Kenmoor Ave Se
Suite 200
Grand Rapids
MI 49546

Ph: (616) 363-7690

NPI Details:

NPI Number1104170661
Provider Enumeration Date11/06/2012
Last Update Date04/15/2024

Medicare PECOS Information:

Medicare PECOS PAC ID6305090507
Medicare Enrollment IDO20130215000130

Medical Identifiers

Medical identifiers for Internal Medicine And Pediatrics Of West Michigan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104170661NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 4301071009 (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. Internal Medicine And Pediatrics Of West Michigan acts as a billing entity for following providers:
Provider NameMichael J App
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467490953
PECOS PAC ID: 6002718400
Enrollment ID: I20040126000354
Provider NameDavid Robert Meyer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487875076
PECOS PAC ID: 9234221227
Enrollment ID: I20070822000903
Provider NameTena E Landers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366887812
PECOS PAC ID: 5193950152
Enrollment ID: I20131028001979
Provider NameAllison Boonie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174948384
PECOS PAC ID: 2062637176
Enrollment ID: I20140703001692
Provider NameHeather Kozlowski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841732542
PECOS PAC ID: 6507149853
Enrollment ID: I20170210000749
Provider NameMaria Lynn Kurlenda
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013480391
PECOS PAC ID: 9032450762
Enrollment ID: I20190408000592
Provider NameHyung T Kim
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417382821
PECOS PAC ID: 5890028708
Enrollment ID: I20231025000397
Provider NameJohn Michael Schuitema
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043925498
PECOS PAC ID: 8527414325
Enrollment ID: I20231031002197

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.