Mark David Malnor, MD in Grand Rapids, MI

Mark David Malnor, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Grand Rapids, Michigan. His current practice location is 200 Jeffeson Se, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 364-6700.

Mark David Malnor is licensed to practice in Michigan (license number 4301048475) 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 1881618239.

Contact Information

	Mark David Malnor, MD
	200 Jeffeson Se, Grand Rapids, MI 49503
	(616) 364-6700
	(616) 364-4960

Map and Direction

Physician's Profile

Full Name	Mark David Malnor
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	200 Jeffeson Se, 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: 1881618239
Provider Enumeration Date: 07/27/2006
Last Update Date: 09/10/2019

Medicare PECOS Information:

PECOS PAC ID: 7911978705
Enrollment ID: I20050607000174

Medical Identifiers

Medical identifiers for Mark David Malnor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881618239	NPI	-	NPPES
1662851100	Medicaid	MI
300044873	Other	MI	RR MEDICAID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	4301048475 (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. Mark David Malnor allows following entities to bill medicare on his behalf.

Entity Name	Kent Radiology Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760416960 PECOS PAC ID: 0648171850 Enrollment ID: O20040804001134

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. Mark David Malnor 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
Mark David Malnor, MD Po Box 5329, Saginaw, MI 48603-0329 Ph: (616) 364-6700	Mark David Malnor, MD 200 Jeffeson Se, Grand Rapids, MI 49503 Ph: (616) 364-6700

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

Mark David Malnor, MD - Medicare Radiology in Grand Rapids, MI