Dr Jesse Isaiah-keirnan Skok, MD - Medicare Family Medicine in Fremont, MI

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Dr Jesse Isaiah-keirnan Skok, MD is a medicare enrolled "Family Medicine" physician in Fremont, Michigan. His current practice location is 212 S Sullivan Ave, Fremont, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 391-3139.

Dr Jesse Isaiah-keirnan Skok is licensed to practice in Michigan (license number 4301507643) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487278834.

Contact Information

Dr Jesse Isaiah-keirnan Skok, MD
212 S Sullivan Ave,
Fremont, MI 49412-1548
(616) 391-3139
Not Available

Map and Direction




Physician's Profile

Full NameDr Jesse Isaiah-keirnan Skok
GenderMale
SpecialityFamily Medicine
Location212 S Sullivan Ave, Fremont, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487278834
  • Provider Enumeration Date: 06/02/2020
  • Last Update Date: 08/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2062836158
  • Enrollment ID: I20230815002008

Medical Identifiers

Medical identifiers for Dr Jesse Isaiah-keirnan Skok such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487278834NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4301507643 (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. Dr Jesse Isaiah-keirnan Skok 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
Entity NameSpectrum Health Hospitals
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558407189
PECOS PAC ID: 8921904764
Enrollment ID: O20040120000997
Entity NameSpectrum Health United
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457304495
PECOS PAC ID: 6305836487
Enrollment ID: O20040612000087

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 Jesse Isaiah-keirnan Skok 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
Dr Jesse Isaiah-keirnan Skok, MD
100 Michigan St Ne # Mc845,
Grand Rapids, MI 49503-2560

Ph: () -		Dr Jesse Isaiah-keirnan Skok, MD
212 S Sullivan Ave,
Fremont, MI 49412-1548

Ph: (616) 391-3139

Reviews and Comments


Family Medicine Doctors in Fremont, MI

Eric R Weaver, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 230 W Oak St, Fremont, MI 49412
Phone: 231-924-4200    
Donald B. Reinders, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 230 W Oak St, Suite 201, Fremont, MI 49412
Phone: 231-924-4200    Fax: 231-924-2001
Robert C. Clouse, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 230 W Oak St, Suite 201, Fremont, MI 49412
Phone: 231-924-4200    Fax: 231-924-2001
Carol L. Deweerd, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 230 W Oak St, Suite 201, Fremont, MI 49412
Phone: 231-924-4200    Fax: 231-924-4064
Richard S. Boss, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 230 W Oak St, Suite 201, Fremont, MI 49412
Phone: 231-924-4200    Fax: 231-924-4064
Jordan Raymond Jones, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 230 W Oak St, Fremont, MI 49412
Phone: 231-924-4200    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.