Dr Bryan Jon Pack, MD in Grand Rapids, MI - Medicare Orthopedic Surgery

Dr Bryan Jon Pack, MD is a medicare enrolled "Orthopaedic Surgery" physician in Grand Rapids, Michigan. He went to Wayne State University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Iha Olma Specialty 1 Llc and his current practice location is 350 Lafayette Ave Se, 4th Floor, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 459-9404.

Dr Bryan Jon Pack is licensed to practice in Michigan (license number 4301086174) 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 1295944239.

Contact Information

	Dr Bryan Jon Pack, MD
	350 Lafayette Ave Se, 4th Floor, Grand Rapids, MI 49503-4656
	(616) 459-9404
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Bryan Jon Pack
Gender	Male
Speciality	Orthopedic Surgery
Experience	19 Years
Location	350 Lafayette Ave Se, 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 Bryan Jon Pack attended and graduated from Wayne State University School Of Medicine in 2005

NPI Data:

NPI Number: 1295944239
Provider Enumeration Date: 05/22/2007
Last Update Date: 03/21/2014

Medicare PECOS Information:

PECOS PAC ID: 8527255991
Enrollment ID: I20110817000177

Medical Identifiers

Medical identifiers for Dr Bryan Jon Pack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295944239	NPI	-	NPPES
1295944239	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	4301086174 (Michigan)	Primary
207X00000X	Orthopaedic Surgery	036-125552 (Illinois)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joe Mercy Hospital System Livonia	Livonia, MI	Hospital
St Joseph Mercy Hospital	Ann arbor, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Iha Olma Specialty 1 Llc	6901206689	42

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 Bryan Jon Pack allows following entities to bill medicare on his behalf.

Entity Name	Iha Health Services Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355

Entity Name	Advantage Health/saint Mary's Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279

Entity Name	Iha Olma Specialty 1 Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891371118 PECOS PAC ID: 6901206689 Enrollment ID: O20210617000949

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 Bryan Jon Pack 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 Bryan Jon Pack, MD 3565 Momentum Pl, Chicago, IL 60689-5335 Ph: (616) 459-9404	Dr Bryan Jon Pack, MD 350 Lafayette Ave Se, 4th Floor, Grand Rapids, MI 49503-4656 Ph: (616) 459-9404

Reviews and Comments

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: 2770 E Beltline Ave Ne, Grand Rapids, MI 49525 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: 2770 E Beltline Ave Ne, Grand Rapids, MI 49525 Phone: 616-267-8860
Jacob Allen Lytle, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2770 E Beltline Ave Ne, Grand Rapids, MI 49525 Phone: 616-267-8860

Dr Bryan Jon Pack, MD - Medicare Orthopedic Surgery in Grand Rapids, MI