Keith Daniel Rosol, MD in Grand Rapids, MI

Keith Daniel Rosol, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Grand Rapids, Michigan. His current practice location is 200 Jefferson Se, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 364-6700.

Keith Daniel Rosol is licensed to practice in Michigan (license number 4301064028) 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 1760573695.

Contact Information

	Keith Daniel Rosol, MD
	200 Jefferson Se, Grand Rapids, MI 49503
	(616) 364-6700
	(616) 364-4960

Map and Direction

Physician's Profile

Full Name	Keith Daniel Rosol
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	200 Jefferson Se, 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: 1760573695
Provider Enumeration Date: 09/27/2006
Last Update Date: 08/31/2020

Medicare PECOS Information:

PECOS PAC ID: 8224092846
Enrollment ID: I20041115000228

Medical Identifiers

Medical identifiers for Keith Daniel Rosol such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760573695	NPI	-	NPPES
4102564100	Medicaid	MI
300103083	Other	MI	RR MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	4301064028 (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. Keith Daniel Rosol allows following entities to bill medicare on his behalf.

Entity Name	Kent Radiology Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760416960 PECOS PAC ID: 0648171850 Enrollment ID: O20040804001134

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. Keith Daniel Rosol 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
Keith Daniel Rosol, MD Po Box 5329, Saginaw, MI 48603-0329 Ph: (616) 364-6700	Keith Daniel Rosol, MD 200 Jefferson Se, Grand Rapids, MI 49503 Ph: (616) 364-6700

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

Keith Daniel Rosol, MD - Medicare Radiology in Grand Rapids, MI