Dr Jack Richard Roossien Jr, MD - Medicare Family Medicine in West Olive, MI

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Dr Jack Richard Roossien Jr, MD is a medicare enrolled "Family Medicine" physician in West Olive, Michigan. His current practice location is 15151 Stanton St, Suite A, West Olive, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 296-1020.

Dr Jack Richard Roossien Jr is licensed to practice in Michigan (license number JR050437) 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 1184610669.

Contact Information

Dr Jack Richard Roossien Jr, MD
15151 Stanton St, Suite A,
West Olive, MI 49460-8543
(616) 296-1020
(616) 296-1030

Map and Direction




Physician's Profile

Full NameDr Jack Richard Roossien Jr
GenderMale
SpecialityFamily Medicine
Location15151 Stanton St, West Olive, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184610669
  • Provider Enumeration Date: 09/21/2005
  • Last Update Date: 06/07/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9638071632
  • Enrollment ID: I20070511000243

Medical Identifiers

Medical identifiers for Dr Jack Richard Roossien Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184610669NPI-NPPES
ON13120OtherMIMEDICARE GROUP NUMBER
4214810MedicaidMI
1184610669MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine JR050437 (Michigan)Primary

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 Jack Richard Roossien Jr allows following entities to bill medicare on his behalf.
Entity NameMercy Physician Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023056744
PECOS PAC ID: 8921996307
Enrollment ID: O20040308000687

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 Jack Richard Roossien Jr 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 Jack Richard Roossien Jr, MD
Po Box 1848,
Muskegon, MI 49443-1848

Ph: (866) 611-1612		Dr Jack Richard Roossien Jr, MD
15151 Stanton St, Suite A,
West Olive, MI 49460-8543

Ph: (616) 296-1020

Reviews and Comments


Family Medicine Doctors in West Olive, MI

Sean M Cunningham, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15151 Stanton St, West Olive, MI 49460
Phone: 616-685-1950    Fax: 231-727-5223
Lindsey Ann Roossien, PA-C
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15151 Stanton St, West Olive, MI 49460
Phone: 616-296-1020    Fax: 616-296-1030
Matthew Tornga, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15151 Stanton St Ste A, West Olive, MI 49460
Phone: 616-296-1020    

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.