Jesse R Amezaga, MD in Grand Rapids, MI - Medicare Diagnostic Radiology

Jesse R Amezaga, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Grand Rapids, Michigan. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Centra Medical Group Llc, Raleigh Radiology Associates Inc, Raleigh Radiology Associates Inc, Raleigh Radiology Associates Inc 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.

Jesse R Amezaga is licensed to practice in Michigan (license number 4301078261) 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 1386683209.

Contact Information

	Jesse R Amezaga, 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	Jesse R Amezaga
Gender	Male
Speciality	Diagnostic Radiology
Experience	23 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:

Jesse R Amezaga graduated from medical school in 2001

NPI Data:

NPI Number: 1386683209
Provider Enumeration Date: 06/06/2006
Last Update Date: 07/18/2024

Medicare PECOS Information:

PECOS PAC ID: 0446262604
Enrollment ID: I20060707000167

Medical Identifiers

Medical identifiers for Jesse R Amezaga such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386683209	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	0101278889 (Virginia)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	01093995A (Indiana)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	4301078261 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Centra Health - Lynchburg Gen Hospital	Lynchburg, VA	Hospital
Wilson Medical Center	Wilson, NC	Hospital
Haywood Regional Medical Center	Clyde, NC	Hospital
Wythe County Community Hospital	Wytheville, VA	Hospital
Twin County Regional Hospital	Galax, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Centra Medical Group Llc	4789606088	636
Raleigh Radiology Associates Inc	6800874611	67
Raleigh Radiology Associates Inc	6800874611	67
Raleigh Radiology Associates Inc	6800874611	67

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. Jesse R Amezaga allows following entities to bill medicare on his behalf.

Entity Name	Raleigh Radiology Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811920101 PECOS PAC ID: 6800874611 Enrollment ID: O20230914000713

Entity Name	Centra Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20230929002119

Entity Name	Raleigh Radiology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952527343 PECOS PAC ID: 6305739707 Enrollment ID: O20240322000384

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. Jesse R Amezaga 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
Jesse R Amezaga, MD 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 Ph: (616) 363-7272	Jesse R Amezaga, 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

Jesse R Amezaga, MD - Medicare Diagnostic Radiology in Grand Rapids, MI