Jemila Ali, - Medicare Nurse Practitioner in Grand Rapids, MI

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Jemila Ali, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Grand Rapids, Michigan. Her current practice location is 3950 Sparks Dr Se, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 726-1318.

Jemila Ali is licensed to practice in Michigan (license number 4704274701) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417626771.

Contact Information

Jemila Ali,
3950 Sparks Dr Se,
Grand Rapids, MI 49546-6159
(616) 726-1318
Not Available

Map and Direction




Physician's Profile

Full NameJemila Ali
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location3950 Sparks Dr Se, Grand Rapids, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417626771
  • Provider Enumeration Date: 09/09/2021
  • Last Update Date: 09/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1254719958
  • Enrollment ID: I20220609000215

Medical Identifiers

Medical identifiers for Jemila Ali such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417626771NPI-NPPES
0D12824OtherMIBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 470474701 (Michigan)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 4704274701 (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. Jemila Ali allows following entities to bill medicare on her behalf.
Entity NameDownriver Mental Health Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295866135
PECOS PAC ID: 7911995139
Enrollment ID: O20040505000533
Entity NameFamily Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811065576
PECOS PAC ID: 1759370216
Enrollment ID: O20040510000899
Entity NameKrzysztof Mlak, Md, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891248225
PECOS PAC ID: 9335410463
Enrollment ID: O20170807003420
Entity NameRecovery Physicians Network Of Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689343683
PECOS PAC ID: 5597162552
Enrollment ID: O20210920000260
Entity NameSupportive Care I Of Michigan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548995608
PECOS PAC ID: 9638554298
Enrollment ID: O20220916003011

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. Jemila Ali 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
Jemila Ali,
3475 Belle Chase Way,
Lansing, MI 48911-4252

Ph: (517) 882-3732		Jemila Ali,
3950 Sparks Dr Se,
Grand Rapids, MI 49546-6159

Ph: (616) 726-1318

Reviews and Comments



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.