Jeremy Bradford Petrous, DO in Grand Rapids, MI

Jeremy Bradford Petrous, DO is a medicare enrolled "Internal Medicine - Sleep Medicine" physician in Grand Rapids, Michigan. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Spectrum Health Primary Care Partners and his current practice location is 4100 Lake Dr Se Ste 200, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 391-3759.

Jeremy Bradford Petrous is licensed to practice in Michigan (license number 5101021240) 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 1639584196.

Contact Information

	Jeremy Bradford Petrous, DO
	4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546
	(616) 391-3759
	Not Available

Map and Direction

Physician's Profile

Full Name	Jeremy Bradford Petrous
Gender	Male
Speciality	Psychiatry
Experience	10 Years
Location	4100 Lake Dr Se Ste 200, 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:

Jeremy Bradford Petrous attended and graduated from Michigan State University College Of Osteopathic Medicine in 2014

NPI Data:

NPI Number: 1639584196
Provider Enumeration Date: 06/24/2014
Last Update Date: 02/25/2021

Medicare PECOS Information:

PECOS PAC ID: 4880999002
Enrollment ID: I20170823001094

Medical Identifiers

Medical identifiers for Jeremy Bradford Petrous such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639584196	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	5101021240 (Michigan)	Secondary
207RS0012X	Internal Medicine - Sleep Medicine	5101021240 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Spectrum Health	Grand rapids, MI	Hospital
Spectrum Health Pennock	Hastings, MI	Hospital
Spectrum Health United Hospital	Greenville, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Spectrum Health Primary Care Partners	4587568647	1590

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. Jeremy Bradford Petrous allows following entities to bill medicare on his behalf.

Entity Name	Spectrum Health Primary Care Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091

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 Bradford Petrous 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
Jeremy Bradford Petrous, DO 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () -	Jeremy Bradford Petrous, DO 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546 Ph: (616) 391-3759

Reviews and Comments

Internal Medicine Doctors in Grand Rapids, MI

Maureen Tan Pedres, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Suite A721, Grand Rapids, MI 49503 Phone: 616-391-3139 Fax: 616-391-3044
Jeffery Allen Woo, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 Wealthy St Se, Ste 150, Grand Rapids, MI 49506 Phone: 616-459-3158 Fax: 616-988-0071
Robert W Selfe, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 221 Michigan St Ne, Suite 200, Grand Rapids, MI 49503 Phone: 616-267-8950 Fax: 616-267-8585
Dr. Erin Megan Pettijohn, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503 Phone: 616-685-5600
Dr. Andrew Leo Sochacki, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5800 Foremost Dr Se Ste 200, Grand Rapids, MI 49546 Phone: 616-389-1800
Aline De Quadros Teixeira, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-3139
Stephanie F Williams, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 145 Michigan St Ne, Suite 5200, Grand Rapids, MI 49503 Phone: 616-486-5933 Fax: 616-486-6489

Jeremy Bradford Petrous, DO - Medicare Psychiatry in Grand Rapids, MI