Jeremy David Mormol, MD - Medicare Radiology in Grand Rapids, MI

Jeremy David Mormol, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Grand Rapids, Michigan. His current practice location is 100 Michigan St Ne, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 391-6243.

Jeremy David Mormol is licensed to practice in Michigan (license number 4301510153) 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 1174142285.

Contact Information

Jeremy David Mormol, MD
100 Michigan St Ne,
Grand Rapids, MI 49503-2560
(616) 391-6243
Not Available

Map and Direction




Physician's Profile

Full NameJeremy David Mormol
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location100 Michigan St Ne, 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: 1174142285
  • Provider Enumeration Date: 04/09/2020
  • Last Update Date: 06/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8325462518
  • Enrollment ID: I20200721002622

Medical Identifiers

Medical identifiers for Jeremy David Mormol such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174142285NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 4301510153 (Michigan)Primary

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. Jeremy David Mormol 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
Jeremy David Mormol, MD
1153 Arlington St Ne,
Grand Rapids, MI 49505-3807

Ph: () -
Jeremy David Mormol, MD
100 Michigan St Ne,
Grand Rapids, MI 49503-2560

Ph: (616) 391-6243

Reviews and Comments


Radiology Doctors in Grand Rapids, MI

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Dr. Andrew Kent Moriarity, M.D.
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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.

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