Dr Brett Justin Mollard, MD in Grand Rapids, MI - Medicare Diagnostic Radiology

Dr Brett Justin Mollard, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Grand Rapids, Michigan. He went to Wayne State University School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice North Shore - Lij Medical Pc, Southside Faculty Medical Affiliates University Faculty Prac and his current practice location is 3264 N Evergreen Dr Ne, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 363-7272.

Dr Brett Justin Mollard is licensed to practice in Michigan (license number 4301098145) 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 1669796223.

Contact Information

	Dr Brett Justin Mollard, MD
	3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746
	(616) 363-7272
	(616) 361-5828

Map and Direction

Physician's Profile

Full Name	Dr Brett Justin Mollard
Gender	Male
Speciality	Diagnostic Radiology
Experience	14 Years
Location	3264 N Evergreen Dr Ne, Grand Rapids, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Brett Justin Mollard attended and graduated from Wayne State University School Of Medicine in 2010

NPI Data:

NPI Number: 1669796223
Provider Enumeration Date: 03/24/2010
Last Update Date: 08/01/2022

Medicare PECOS Information:

PECOS PAC ID: 1850605478
Enrollment ID: I20160624002075

Medical Identifiers

Medical identifiers for Dr Brett Justin Mollard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669796223	NPI	-	NPPES
2058603	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	MD60646257 (Washington)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	4301098145 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
North Shore University Hospital	Manhasset, NY	Hospital
Phelps Memorial Hospital Center	Sleepy hollow, NY	Hospital
John T Mather Memorial Hospital Of Port Jefferson	Port jefferson, NY	Hospital
Spectrum Health	Grand rapids, MI	Hospital
Lenox Hill Hospital	New york, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Shore - Lij Medical Pc	3375701568	5120
Southside Faculty Medical Affiliates University Faculty Prac	5698175933	171

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. Dr Brett Justin Mollard allows following entities to bill medicare on his behalf.

Entity Name	Proliance Surgeons Inc Ps
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023170313 PECOS PAC ID: 8527972900 Enrollment ID: O20031119000128

Entity Name	Tra-minw P S
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396814166 PECOS PAC ID: 2163316167 Enrollment ID: O20040211000326

Entity Name	Southside Faculty Medical Affiliates University Faculty Prac
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033791058 PECOS PAC ID: 5698175933 Enrollment ID: O20240115001443

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20240306001315

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. Dr Brett Justin Mollard 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 Address	Practice Location Address
Dr Brett Justin Mollard, MD 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 Ph: (616) 363-7272	Dr Brett Justin Mollard, MD 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 Ph: (616) 363-7272

Reviews and Comments

Radiology Doctors in Grand Rapids, MI

Dr. Jon R Henke, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7272 Fax: 616-363-7290
Geoffrey M. Remes, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7339 Fax: 616-361-5828
Jan L Mourelatos, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7272 Fax: 616-361-5828
Dr. Brendan Michael Banyon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7272
Dr. Joseph J Junewick, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7272 Fax: 616-363-7290
Keith Alan Morrow, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7339 Fax: 616-361-5828
Dr. Andrew Kent Moriarity, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7339

Dr Brett Justin Mollard, MD - Medicare Diagnostic Radiology in Grand Rapids, MI