Edwin T Kornoelje, DO - Medicare Family Practice 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 29 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Physiotherapy Associates Inc, Metropolitan Hospital 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



Physician's Profile

Full NameEdwin T Kornoelje
GenderMale
SpecialityFamily Practice
Experience29 Years
Location4300 Cascade Rd Se, Grand Rapids, Michigan
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1023071727NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 5101012620 (Michigan)Secondary
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine 5101012620 (Michigan)Secondary
207QS0010XFamily Medicine - Sports Medicine 5101012620 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Metro Health HospitalWyoming, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Physiotherapy Associates Inc3577470442429
Metropolitan Hospital5597651836352

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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 NameMetropolitan Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811937519
PECOS PAC ID: 5597651836
Enrollment ID: O20040507000012

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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 AddressPractice 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

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Family Medicine Doctors in Grand Rapids, MI

Tammy Born Huizenga, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
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: Medicare Enrolled
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: 6735 Cascade Rd Se, Suite 300, Grand Rapids, MI 49546
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    

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