Jan L Mourelatos, MD - Medicare Diagnostic Radiology in Grand Rapids, MI

Jan L Mourelatos, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Grand Rapids, Michigan. She went to Wayne State University School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Advanced Radiology Services Pc, Spartan Radiology Inc and her current practice location is 3264 N Evergreen Dr Ne, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 363-7272.

Jan L Mourelatos is licensed to practice in Michigan (license number 4301052862) 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 1003895228.

Contact Information

Jan L Mourelatos, MD
3264 N Evergreen Dr Ne,
Grand Rapids, MI 49525-9746
(616) 363-7272
(616) 361-5828



Physician's Profile

Full NameJan L Mourelatos
GenderFemale
SpecialityDiagnostic Radiology
Experience36 Years
Location3264 N Evergreen Dr 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:
  • Jan L Mourelatos attended and graduated from Wayne State University School Of Medicine in 1988
  NPI Data:
  • NPI Number: 1003895228
  • Provider Enumeration Date: 01/16/2006
  • Last Update Date: 01/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7517866288
  • Enrollment ID: I20040508000243

Medical Identifiers

Medical identifiers for Jan L Mourelatos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003895228NPI-NPPES
1006439OtherMIMCLAREN HEALTH
3513322MedicaidMI
OH26188036OtherFED BLACK LUNG PROGRAM
351332210OtherMIPROCARE
P00222749OtherRR MEDICARE/PALMETTO GBA
0H26188OtherMIBCBS PROVIDER NUMBER
0Q26008040OtherFED BLACK LUNG PROGRAM
111785OtherMIGREAT LAKES HEALTH
0Q26008OtherMIBCBS PROVIDER NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 4301052862 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension St John HospitalDetroit, MIHospital
Spectrum HealthGrand rapids, MIHospital
Midmichigan Medical Center-midlandMidland, MIHospital
Bronson Methodist HospitalKalamazoo, MIHospital
Bronson Battle Creek HospitalBattle creek, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advanced Radiology Services Pc4284546516235
Spartan Radiology Inc5698003697179

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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. Jan L Mourelatos allows following entities to bill medicare on her behalf.
Entity NameAdvanced Radiology Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740283324
PECOS PAC ID: 4284546516
Enrollment ID: O20031104000494

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Entity NameSpartan Radiology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932768058
PECOS PAC ID: 5698003697
Enrollment ID: O20190829001596

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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. Jan L Mourelatos 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
Jan L Mourelatos, MD
3264 N Evergreen Dr Ne,
Grand Rapids, MI 49525-9746

Ph: (616) 363-7272
Jan L Mourelatos, MD
3264 N Evergreen Dr Ne,
Grand Rapids, MI 49525-9746

Ph: (616) 363-7272

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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
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    

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