Mounir Djemil, MD - Medicare Pediatrics in Grand Rapids, MI

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Mounir Djemil, MD is a medicare enrolled "Pediatrics" physician in Grand Rapids, Michigan. His current practice location is 330 Barclay Ave Ne, Suite 300, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 391-8810.

Mounir Djemil is licensed to practice in Michigan (license number 4301110650) 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 1053763862.

Contact Information

Mounir Djemil, MD
330 Barclay Ave Ne, Suite 300,
Grand Rapids, MI 49503-2556
(616) 391-8810
Not Available

Map and Direction




Physician's Profile

Full NameMounir Djemil
GenderMale
SpecialityPediatrics
Location330 Barclay Ave 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: 1053763862
  • Provider Enumeration Date: 07/05/2016
  • Last Update Date: 06/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9537453931
  • Enrollment ID: I20230601003026

Medical Identifiers

Medical identifiers for Mounir Djemil such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053763862NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 4301110650 (Michigan)Primary
208000000XPediatrics 4125 (Wisconsin)Secondary

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. Mounir Djemil allows following entities to bill medicare on his behalf.
Entity NameAspirus Ironwood Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992704753
PECOS PAC ID: 9032013198
Enrollment ID: O20031121000096
Entity NameMemorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235160532
PECOS PAC ID: 8527976497
Enrollment ID: O20040122000907
Entity NameMymichigan Medical Center Alma
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265596126
PECOS PAC ID: 3375451404
Enrollment ID: O20040202000975
Entity NameMymichigan Medical Center Alpena
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508332792
PECOS PAC ID: 8527969922
Enrollment ID: O20040415000495
Entity NameMymichigan Medical Center Gladwin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881869774
PECOS PAC ID: 0143262915
Enrollment ID: O20081024000094
Entity NameAcquisition Bell Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699101345
PECOS PAC ID: 3971730987
Enrollment ID: O20140311000227

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. Mounir Djemil 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
Mounir Djemil, MD
330 Barclay Ave Ne, Suite 300,
Grand Rapids, MI 49503-2556

Ph: (616) 391-8810		Mounir Djemil, MD
330 Barclay Ave Ne, Suite 300,
Grand Rapids, MI 49503-2556

Ph: (616) 391-8810

Reviews and Comments


Pediatrics Doctors in Grand Rapids, MI

Phillip Richter Paras, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 330 Barclay Ave Ne, Suite 300, Grand Rapids, MI 49503
Phone: 616-391-8810    Fax: 616-391-8897
Nathan Andrew Patterson, M.D
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 100 Michigan St Ne # Mc117, Grand Rapids, MI 49503
Phone: 616-267-0118    
Stephanie-grace Abinoja Raymundo, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503
Phone: 616-267-9150    
William B Stratbucker, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 35 Michigan St Ne Ste 1800, Grand Rapids, MI 49503
Phone: 616-391-7999    
Wesley Hannah Shane, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503
Phone: 866-989-7999    
Caroline Buckley, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 330 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503
Phone: 616-391-8810    
Dr. Susan H Wakefield, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 877 Forest Hill Ave Se, Grand Rapids, MI 49546
Phone: 616-949-4465    Fax: 616-949-6191

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.