Jan L Mourelatos, MD | |
3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | |
(616) 363-7272 | |
(616) 361-5828 |
Full Name | Jan L Mourelatos |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 36 Years |
Location | 3264 N Evergreen Dr Ne, Grand Rapids, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003895228 | NPI | - | NPPES |
1006439 | Other | MI | MCLAREN HEALTH |
3513322 | Medicaid | MI | |
OH26188036 | Other | FED BLACK LUNG PROGRAM | |
351332210 | Other | MI | PROCARE |
P00222749 | Other | RR MEDICARE/PALMETTO GBA | |
0H26188 | Other | MI | BCBS PROVIDER NUMBER |
0Q26008040 | Other | FED BLACK LUNG PROGRAM | |
111785 | Other | MI | GREAT LAKES HEALTH |
0Q26008 | Other | MI | BCBS PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 4301052862 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Spectrum Health | Grand rapids, MI | Hospital |
Midmichigan Medical Center-midland | Midland, MI | Hospital |
Mclaren Bay Region | Bay city, MI | Hospital |
Bronson Methodist Hospital | Kalamazoo, MI | Hospital |
Bronson Battle Creek Hospital | Battle creek, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Radiology Services Pc | 4284546516 | 237 |
Spartan Radiology Inc | 5698003697 | 176 |
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 |
Mailing Address | Practice Location Address |
---|---|
Jan L Mourelatos, MD 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 Ph: (616) 363-7272 | Jan L Mourelatos, MD 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 Ph: (616) 363-7272 |
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 | |
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 |