Jacquelyn Lee Cosgrove, OD - Medicare Optometrist in Grand Rapids, MI

Jacquelyn Lee Cosgrove, OD is a medicare enrolled "Optometrist" provider in Grand Rapids, Michigan. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Grand Rapids Eye Care 2820 Pllc and her current practice location is 2820 E Beltline Ln Ne, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 363-5413.

Jacquelyn Lee Cosgrove is licensed to practice in Michigan (license number 4901005682) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568999332.

Contact Information

Jacquelyn Lee Cosgrove, OD
2820 E Beltline Ln Ne,
Grand Rapids, MI 49525-9432
(616) 363-5413
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJacquelyn Lee Cosgrove
GenderFemale
SpecialityOptometry
Experience7 Years
Location2820 E Beltline Ln Ne, Grand Rapids, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacquelyn Lee Cosgrove graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1568999332
  • Provider Enumeration Date: 05/11/2017
  • Last Update Date: 01/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2466708292
  • Enrollment ID: I20240124000814

Medical Identifiers

Medical identifiers for Jacquelyn Lee Cosgrove such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568999332NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 4901005682 (Michigan)Primary
152W00000XOptometrist OD60861196 (Washington)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Grand Rapids Eye Care 2820 Pllc46887946474

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. Jacquelyn Lee Cosgrove allows following entities to bill medicare on her behalf.
Provider NameGrand Rapids Eye Care 2820 Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1053534040
PECOS PAC ID: 4688794647
Enrollment ID: O20110303000824

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. Jacquelyn Lee Cosgrove 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
Jacquelyn Lee Cosgrove, OD
2820 E Beltline Ln Ne,
Grand Rapids, MI 49525-9432

Ph: (616) 363-5413
Jacquelyn Lee Cosgrove, OD
2820 E Beltline Ln Ne,
Grand Rapids, MI 49525-9432

Ph: (616) 363-5413

Reviews and Comments


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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.

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.