Dr Andy Jedrzejczyk, MD - Medicare Diagnostic Radiology in Dearborn, MI

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Dr Andy Jedrzejczyk, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Dearborn, Michigan. He graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Evergreen Radia Llc, Swedish Health Services, Columbus Radiology Corp, Radia Oregon Radiology Medical Group Llc, Central Washington Health Services Association, Radia California Radiology Medical Group Inc, Radia Inc P S, Swedish Health Services, Okanogan County Public Hospital District No. 3 and his current practice location is 18101 Oakwood Blvd, Dearborn, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 593-7000.

Dr Andy Jedrzejczyk is licensed to practice in Michigan (license number 4301108096) 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 1215318217.

Contact Information

Dr Andy Jedrzejczyk, MD
18101 Oakwood Blvd,
Dearborn, MI 48124-4089
(313) 593-7000
Not Available

Map and Direction




Physician's Profile

Full NameDr Andy Jedrzejczyk
GenderMale
SpecialityDiagnostic Radiology
Experience11 Years
Location18101 Oakwood Blvd, Dearborn, 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 Andy Jedrzejczyk graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1215318217
  • Provider Enumeration Date: 06/15/2015
  • Last Update Date: 12/04/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0446519532
  • Enrollment ID: I20200702002050

Medical Identifiers

Medical identifiers for Dr Andy Jedrzejczyk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215318217NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 4301108096 (Michigan)Primary
2085R0202XRadiology - Diagnostic Radiology MD61608090 (Washington)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Asante Rogue Regional Medical CenterMedford, ORHospital
Overlake Hospital Medical Center & ClinicsBellevue, WAHospital
Providence Holy Cross Medical CenterMission hills, CAHospital
Providence Santa Rosa Memorial HospitalSanta rosa, CAHospital
Providence Medford Medical CenterMedford, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Evergreen Radia Llc4587568076116
Swedish Health Services3173433067156
Columbus Radiology Corp6507754983290
Radia Oregon Radiology Medical Group Llc2961852637122
Central Washington Health Services Association4880504596708
Radia California Radiology Medical Group Inc8921465998134
Radia Inc P S9931012812275
Swedish Health Services02441381961038
Okanogan County Public Hospital District No. 3680070795189

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 Andy Jedrzejczyk allows following entities to bill medicare on his behalf.
Entity NameRadiology Associates of Canton Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912982034
PECOS PAC ID: 7012829260
Enrollment ID: O20031105000231
Entity NameColumbus Radiology Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669408159
PECOS PAC ID: 6507754983
Enrollment ID: O20040308000742
Entity NameAultman Now Urgent Care, LLC
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1225662927
PECOS PAC ID: 7719318633
Enrollment ID: O20200509000328
Entity NameMedford Radiological Group PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407938111
PECOS PAC ID: 2062303324
Enrollment ID: O20201027001459
Entity NameCentral Washington Health Services Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881642239
PECOS PAC ID: 4880504596
Enrollment ID: O20241010001025
Entity NameRadia Oregon Radiology Medical Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073385423
PECOS PAC ID: 2961852637
Enrollment ID: O20241209002929
Entity NameRadia Inc P S
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932196607
PECOS PAC ID: 9931012812
Enrollment ID: O20250124000631
Entity NameRadia California Radiology Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740982032
PECOS PAC ID: 8921465998
Enrollment ID: O20250130001246
Entity NameSwedish Radia Imaging Center at Edmonds LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164494373
PECOS PAC ID: 5496778292
Enrollment ID: O20250721000718
Entity NameEvergreen Radia LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922095694
PECOS PAC ID: 4587568076
Enrollment ID: O20250910000164

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 Andy Jedrzejczyk 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 Andy Jedrzejczyk, MD
3355 Old Weymouth Rd,
Medina, OH 44256-9206

Ph: (216) 470-8120		Dr Andy Jedrzejczyk, MD
18101 Oakwood Blvd,
Dearborn, MI 48124-4089

Ph: (313) 593-7000

Reviews and Comments


Radiology Doctors in Dearborn, MI

Frankju A Arevalo, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124
Phone: 313-359-7650    Fax: 313-359-7660
Dr. Rohan Lalith Deraniyagala, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124
Phone: 248-551-5490    
Jerry W Drake, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124
Phone: 313-359-7650    Fax: 313-359-7660
Hassan Hamadi, DO
Radiology
Medicare: Medicare Enrolled
Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124
Phone: 313-593-7000    
Joon K Kim, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124
Phone: 313-359-7650    Fax: 313-359-7660
Sophia M Roumanis, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124
Phone: 313-359-7650    Fax: 313-359-7660
Michael F Zydeck, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124
Phone: 313-359-7650    Fax: 313-359-7660

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.