Dr Jordan Ray Sall, DO - Medicare Internal Medicine in Grand Rapids, MI

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Dr Jordan Ray Sall, DO is a medicare enrolled "Internal Medicine" physician in Grand Rapids, Michigan. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2012 and has 13 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Lakeland Medical Practices, Sound Inpatient Physicians-michigan Pllc, Hospice At Home, Inc. and his current practice location is 401 Hall St Sw Ste 263, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 719-0919.

Dr Jordan Ray Sall is licensed to practice in Michigan (license number 5101019819) 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 1811242753.

Contact Information

Dr Jordan Ray Sall, DO
401 Hall St Sw Ste 263,
Grand Rapids, MI 49503-4988
(616) 719-0919
(616) 719-0933

Map and Direction




Physician's Profile

Full NameDr Jordan Ray Sall
GenderMale
SpecialityInternal Medicine
Experience13 Years
Location401 Hall St Sw Ste 263, 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 Jordan Ray Sall attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2012
  NPI Data:
  • NPI Number: 1811242753
  • Provider Enumeration Date: 07/17/2012
  • Last Update Date: 10/15/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2062641194
  • Enrollment ID: I20140721000592

Medical Identifiers

Medical identifiers for Dr Jordan Ray Sall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811242753NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RH0002XInternal Medicine - Hospice And Palliative Medicine 5101019819 (Michigan)Secondary
207R00000XInternal Medicine 5101019819 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hospice At HomeSaint joseph, MIHospice
Emmanuel HospiceGrand rapids, MIHospice
Lakeland Hospital, St JosephSt joseph, MIHospital
Midmichigan Medical Center - AlpenaAlpena, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lakeland Medical Practices1658427042252
Sound Inpatient Physicians-michigan Pllc5395896849246
Hospice At Home, Inc.953717811611

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 Jordan Ray Sall allows following entities to bill medicare on his behalf.
Entity NameMclaren Northern Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760736094
PECOS PAC ID: 9931018181
Enrollment ID: O20040415001193
Entity NameHospice At Home, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831186311
PECOS PAC ID: 9537178116
Enrollment ID: O20061025000105
Entity NameSound Inpatient Physicians-michigan Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639311996
PECOS PAC ID: 5395896849
Enrollment ID: O20090624000252
Entity NameLakeland Medical Practices
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538397120
PECOS PAC ID: 1658427042
Enrollment ID: O20090928000216

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 Jordan Ray Sall 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 Jordan Ray Sall, DO
401 Hall St Sw Ste 263,
Grand Rapids, MI 49503-4988

Ph: (616) 719-0919		Dr Jordan Ray Sall, DO
401 Hall St Sw Ste 263,
Grand Rapids, MI 49503-4988

Ph: (616) 719-0919

Reviews and Comments


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Stephanie F Williams, MD
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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.