Jacob Allen Lytle, DO - Medicare Orthopedic Surgery in Grand Rapids, MI

Jacob Allen Lytle, DO is a medicare enrolled "Orthopaedic Surgery" physician in Grand Rapids, Michigan. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Spectrum Health Primary Care Partners and his current practice location is 4100 Lake Dr Se Ste 300, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 267-8860.

Jacob Allen Lytle is licensed to practice in Michigan (license number 5101025074) 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 1033644430.

Contact Information

Jacob Allen Lytle, DO
4100 Lake Dr Se Ste 300,
Grand Rapids, MI 49546-8292
(616) 267-8860
Not Available



Physician's Profile

Full NameJacob Allen Lytle
GenderMale
SpecialityOrthopedic Surgery
Experience7 Years
Location4100 Lake Dr Se Ste 300, 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:
  • Jacob Allen Lytle graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1033644430
  • Provider Enumeration Date: 04/24/2017
  • Last Update Date: 09/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9739459173
  • Enrollment ID: I20230802002074

Medical Identifiers

Medical identifiers for Jacob Allen Lytle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033644430NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 5101025074 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Visiting Nurse Services Of Western MichiganGrand rapids, MIHome health agency
Spectrum HealthGrand rapids, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Spectrum Health Primary Care Partners45875686471585

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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. Jacob Allen Lytle allows following entities to bill medicare on his behalf.
Entity NameSpectrum Health Primary Care Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235188673
PECOS PAC ID: 4587568647
Enrollment ID: O20031121000091

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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. Jacob Allen Lytle 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
Jacob Allen Lytle, DO
100 Michigan St Ne # Mc845,
Grand Rapids, MI 49503-2560

Ph: () -
Jacob Allen Lytle, DO
4100 Lake Dr Se Ste 300,
Grand Rapids, MI 49546-8292

Ph: (616) 267-8860

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Orthopaedic Surgery Doctors in Grand Rapids, MI

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: 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546
Phone: 616-267-8860    
Walter M Braunohler, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
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: 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546
Phone: 616-267-8860    

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