Dr Brett Justin Mollard, MD - Medicare Diagnostic Radiology in Grand Rapids, MI

Dr Brett Justin Mollard, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Grand Rapids, Michigan. He went to Wayne State University School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Advanced Radiology Services Pc, Spartan Radiology Inc and his current practice location is 3264 N Evergreen Dr Ne, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 363-7272.

Dr Brett Justin Mollard is licensed to practice in Michigan (license number 4301098145) 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 1669796223.

Contact Information

Dr Brett Justin Mollard, MD
3264 N Evergreen Dr Ne,
Grand Rapids, MI 49525-9746
(616) 363-7272
(616) 361-5828

Map and Direction




Physician's Profile

Full NameDr Brett Justin Mollard
GenderMale
SpecialityDiagnostic Radiology
Experience14 Years
Location3264 N Evergreen Dr Ne, Grand Rapids, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Brett Justin Mollard attended and graduated from Wayne State University School Of Medicine in 2010
  NPI Data:
  • NPI Number: 1669796223
  • Provider Enumeration Date: 03/24/2010
  • Last Update Date: 08/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1850605478
  • Enrollment ID: I20160624002075

Medical Identifiers

Medical identifiers for Dr Brett Justin Mollard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669796223NPI-NPPES
2058603MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology MD60646257 (Washington)Secondary
2085R0202XRadiology - Diagnostic Radiology 4301098145 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Spectrum HealthGrand rapids, MIHospital
Midmichigan Medical Center-midlandMidland, MIHospital
Ascension Macomb Oakland Hosp-warren CampusWarren, MIHospital
Bronson Methodist HospitalKalamazoo, MIHospital
Lakeland Hospital, St JosephSt joseph, MIHospital

Group Practice Association

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

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. Dr Brett Justin Mollard allows following entities to bill medicare on his behalf.
Entity NameProliance Surgeons Inc Ps
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023170313
PECOS PAC ID: 8527972900
Enrollment ID: O20031119000128
Entity NameTra-minw P S
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396814166
PECOS PAC ID: 2163316167
Enrollment ID: O20040211000326
Entity NameAdvanced Radiology Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740283324
PECOS PAC ID: 4284546516
Enrollment ID: O20201202003080
Entity NameSpartan Radiology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932768058
PECOS PAC ID: 5698003697
Enrollment ID: O20201208001253
Entity NameSouthside Faculty Medical Affiliates University Faculty Prac
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033791058
PECOS PAC ID: 5698175933
Enrollment ID: O20240115001443

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. Dr Brett Justin Mollard 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
Dr Brett Justin Mollard, MD
3264 N Evergreen Dr Ne,
Grand Rapids, MI 49525-9746

Ph: (616) 363-7272
Dr Brett Justin Mollard, MD
3264 N Evergreen Dr Ne,
Grand Rapids, MI 49525-9746

Ph: (616) 363-7272

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    

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.