Randall Wolthuis, Ph.d. Llc - Medicare Mental Health Clinic in Alto, MI

Randall Wolthuis, Ph.d. Llc is a medicare enrolled mental health clinic (Psychologist) in Alto, Michigan. The current practice location for Randall Wolthuis, Ph.d. Llc is 8202 Triple L Trl Se, Alto, Michigan. For appointments, you can reach them via phone at (616) 275-2113. The mailing address for Randall Wolthuis, Ph.d. Llc is 8202 Triple L Trl Se, Alto, Michigan and phone number is (616) 250-2217.

Randall Wolthuis, Ph.d. Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1174160550. 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) 275-2113.

Contact Information

Randall Wolthuis, Ph.d. Llc
8202 Triple L Trl Se
Alto
MI 49302-9551
(616) 275-2113
Not Available

Mental Health Clinic Profile

Full NameRandall Wolthuis, Ph.d. Llc
SpecialityPsychologist
Location8202 Triple L Trl Se, Alto, Michigan
Authorized Official Name and PositionRandall Lee Wolthuis (LICENSED PSYCHOLOGIST)
Authorized Official Contact6162752113
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Randall Wolthuis, Ph.d. Llc
8202 Triple L Trl Se
Alto
MI 49302-9551

Ph: (616) 250-2217
Randall Wolthuis, Ph.d. Llc
8202 Triple L Trl Se
Alto
MI 49302-9551

Ph: (616) 275-2113

NPI Details:

NPI Number1174160550
Provider Enumeration Date12/05/2019
Last Update Date03/21/2024
Certification Date03/21/2024

Medicare PECOS Information:

Medicare PECOS PAC ID0345676383
Medicare Enrollment IDO20200211000338

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Medical Identifiers

Medical identifiers for Randall Wolthuis, Ph.d. Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174160550NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Randall Wolthuis, Ph.d. Llc acts as a billing entity for following providers:
Provider NameRandall Lee Wolthuis
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1639390743
PECOS PAC ID: 2365488509
Enrollment ID: I20050628001231

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