Gerald Scott Witherell, MD in Grand Rapids, MI

Gerald Scott Witherell, MD is a medicare enrolled "Family Medicine" physician in Grand Rapids, Michigan. His current practice location is 2155 E Paris Ave Se Ste 220, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 685-3100.

Gerald Scott Witherell is licensed to practice in Michigan (license number 4301070459) 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 1114970126.

Contact Information

	Gerald Scott Witherell, MD
	2155 E Paris Ave Se Ste 220, Grand Rapids, MI 49546-6195
	(616) 685-3100
	(616) 685-3111

Map and Direction

Physician's Profile

Full Name	Gerald Scott Witherell
Gender	Male
Speciality	Family Medicine
Location	2155 E Paris Ave Se Ste 220, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114970126
Provider Enumeration Date: 05/19/2006
Last Update Date: 09/30/2022

Medicare PECOS Information:

PECOS PAC ID: 0840294658
Enrollment ID: I20060911000291

Medical Identifiers

Medical identifiers for Gerald Scott Witherell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114970126	NPI	-	NPPES
4218917	Medicaid	MI
4218935	Medicaid	MI
4591682	Medicaid	MI
4218819	Medicaid	MI
4218846	Medicaid	MI
4218837	Medicaid	MI
4218855	Medicaid	MI
4876833	Medicaid	MI
4218891	Medicaid	MI
4218864	Medicaid	MI
4591655	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4301070459 (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. Gerald Scott Witherell allows following entities to bill medicare on his behalf.

Entity Name	Mercy Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023056744 PECOS PAC ID: 8921996307 Enrollment ID: O20040308000687

Entity Name	Advantage Health/saint Mary's Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279

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. Gerald Scott Witherell 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 Address	Practice Location Address
Gerald Scott Witherell, MD Po Box 776974, Chicago, IL 60677-6974 Ph: (231) 672-2119	Gerald Scott Witherell, MD 2155 E Paris Ave Se Ste 220, Grand Rapids, MI 49546-6195 Ph: (616) 685-3100

Reviews and Comments

Family Medicine Doctors in Grand Rapids, MI

Tammy Born Huizenga, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3700 52nd St Se, Grand Rapids, MI 49512 Phone: 616-656-3700 Fax: 616-656-3701
Kristi Kern, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4300 Cascade Rd Se, Grand Rapids, MI 49546 Phone: 616-252-1500 Fax: 616-252-1599
Melody L Fitzer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Blackberry Ln Ne, Grand Rapids, MI 49525 Phone: 616-361-8697
Leslie Ann Schulte, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2249 Wealthy St Se Ste 110, Grand Rapids, MI 49506 Phone: 616-391-4600
Lucas Patrick Friedli, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4100 Lake Dr Se Ste B01, Grand Rapids, MI 49546 Phone: 616-267-7400
Michael J Septer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2335 Burton St Se Ste 130, Grand Rapids, MI 49506 Phone: 616-956-9400 Fax: 616-956-9708
Dr. Suzanne Michelle West, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3800 Lake Michigan Dr Nw, Ste. A, Grand Rapids, MI 49534 Phone: 616-267-8225

Gerald Scott Witherell, MD - Medicare Family Medicine in Grand Rapids, MI