Dr Kyle Mark Sonnabend, DO in Grand Rapids, MI

Dr Kyle Mark Sonnabend, DO is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Grand Rapids, Michigan. 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 Kyle Mark Sonnabend is licensed to practice in Michigan (license number 5101027581) 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 1932639754.

Contact Information

	Dr Kyle Mark Sonnabend, DO
	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 Kyle Mark Sonnabend
Gender	Male
Speciality	Radiology - Vascular & Interventional Radiology
Location	3264 N Evergreen Dr Ne, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932639754
Provider Enumeration Date: 06/14/2017
Last Update Date: 07/31/2023

Medicare PECOS Information:

PECOS PAC ID: 0446529010
Enrollment ID: I20230731000950

Medical Identifiers

Medical identifiers for Dr Kyle Mark Sonnabend such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932639754	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0204X	Radiology - Vascular & Interventional Radiology	125071275 (Illinois)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	5101027581 (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 Kyle Mark Sonnabend allows following entities to bill medicare on his behalf.

Entity Name	Advanced Radiology Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740283324 PECOS PAC ID: 4284546516 Enrollment ID: O20031104000494

Entity Name	Spartan Radiology Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932768058 PECOS PAC ID: 5698003697 Enrollment ID: O20190829001596

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 Kyle Mark Sonnabend 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 Kyle Mark Sonnabend, DO 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 Ph: (616) 363-7272	Dr Kyle Mark Sonnabend, DO 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 Kyle Mark Sonnabend, DO - Medicare Radiology in Grand Rapids, MI