Maria E Dimusto-poortenga, MD - Medicare Pediatrics in Grand Rapids, MI

Maria E Dimusto-poortenga, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Grand Rapids, Michigan. Her current practice location is 200 Jefferson Ave Se, Nicu, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 752-6554.

Maria E Dimusto-poortenga is licensed to practice in Michigan (license number 4301068818) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013940980.

Contact Information

Maria E Dimusto-poortenga, MD
200 Jefferson Ave Se, Nicu,
Grand Rapids, MI 49503-4502
(616) 752-6554
Not Available



Physician's Profile

Full NameMaria E Dimusto-poortenga
GenderFemale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location200 Jefferson Ave Se, 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: 1013940980
  • Provider Enumeration Date: 07/07/2006
  • Last Update Date: 12/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4486987229
  • Enrollment ID: I20190610001554

Medical Identifiers

Medical identifiers for Maria E Dimusto-poortenga such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013940980NPI-NPPES
0031359MedicaidOH
4120849MedicaidMI
4877886MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 4301068818 (Michigan)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine 35C001071 (Ohio)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine 1013940980 (Michigan)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine ME141884 (Florida)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine 4301068818 (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. Maria E Dimusto-poortenga allows following entities to bill medicare on her behalf.
Entity NameAscension Medical Group Promed
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497709869
PECOS PAC ID: 7315856077
Enrollment ID: O20031216000478

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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. Maria E Dimusto-poortenga 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
Maria E Dimusto-poortenga, MD
245 State St Se,
Grand Rapids, MI 49503-4328

Ph: () -
Maria E Dimusto-poortenga, MD
200 Jefferson Ave Se, Nicu,
Grand Rapids, MI 49503-4502

Ph: (616) 752-6554

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Older adults newly admitted to nursing homes with high rates of antipsychotic prescribing in the previous year are more likely to receive antipsychotic agents, according to a report in the January 11 issue of Archives of Internal Medicine, one of the JAMA/Archives journals. Of these treated patients, some had no identified clinical indication for this therapy.

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Pediatrics Doctors in Grand Rapids, MI

Phillip Richter Paras, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 330 Barclay Ave Ne, Suite 300, Grand Rapids, MI 49503
Phone: 616-391-8810    Fax: 616-391-8897
Nathan Andrew Patterson, M.D
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Medicare: Medicare Enrolled
Practice Location: 100 Michigan St Ne # Mc117, Grand Rapids, MI 49503
Phone: 616-267-0118    
Stephanie-grace Abinoja Raymundo, M.D.
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Practice Location: 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503
Phone: 616-267-9150    
William B Stratbucker, M.D.
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Medicare: Medicare Enrolled
Practice Location: 35 Michigan St Ne Ste 1800, Grand Rapids, MI 49503
Phone: 616-391-7999    
Wesley Hannah Shane, DO
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Medicare: Medicare Enrolled
Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503
Phone: 866-989-7999    
Caroline Buckley, MD
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Medicare: Medicare Enrolled
Practice Location: 330 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503
Phone: 616-391-8810    
Dr. Susan H Wakefield, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 877 Forest Hill Ave Se, Grand Rapids, MI 49546
Phone: 616-949-4465    Fax: 616-949-6191

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