Susan Passalaqua, MD - Medicare Diagnostic Radiology in Gilbert, AZ

Susan Passalaqua, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Gilbert, Arizona. She went to Medical College Of Ohio and graduated in 1996 and has 28 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Avera Mckennan, Madison Community Hospital, Avera Marshall, Urology Specialists Chartered, Avera Queen Of Peace and her current practice location is 2946 E Banner Gateway Dr., Gilbert, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 256-6444.

Susan Passalaqua is licensed to practice in Arizona (license number 32391) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1891784880.

Contact Information

Susan Passalaqua, MD
2946 E Banner Gateway Dr.,
Gilbert, AZ 85234
(480) 256-6444
(480) 256-4683

Map and Direction




Physician's Profile

Full NameSusan Passalaqua
GenderFemale
SpecialityDiagnostic Radiology
Experience28 Years
Location2946 E Banner Gateway Dr., Gilbert, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Susan Passalaqua attended and graduated from Medical College Of Ohio in 1996
  NPI Data:
  • NPI Number: 1891784880
  • Provider Enumeration Date: 10/21/2005
  • Last Update Date: 01/21/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3375520919
  • Enrollment ID: I20230113002420

Medical Identifiers

Medical identifiers for Susan Passalaqua such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891784880NPI-NPPES
843880MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 32391 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Avera Mckennan Hospital & University Health CenterSioux falls, SDHospital
Avera Heart Hospital Of South DakotaSioux falls, SDHospital
Brookings Health SystemBrookings, SDHospital
Avera Marshall Regional Medical CtrMarshall, MNHospital
Regional Health Services Of Howard CountyCresco, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Avera Mckennan0345157103848
Madison Community Hospital377957974339
Avera Marshall579969522775
Urology Specialists Chartered923403132941
Avera Queen Of Peace933505080684

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. Susan Passalaqua allows following entities to bill medicare on her behalf.
Entity NameAvera Mckennan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003389206
PECOS PAC ID: 0345157103
Enrollment ID: O20031110000117
Entity NameAvera Queen Of Peace
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205359031
PECOS PAC ID: 9335050806
Enrollment ID: O20031229000301
Entity NameUrology Specialists Chartered
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881647246
PECOS PAC ID: 9234031329
Enrollment ID: O20040121000003
Entity NameMadison Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588644058
PECOS PAC ID: 3779579743
Enrollment ID: O20040423000982
Entity NameMadison Community Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1588644058
PECOS PAC ID: 3779579743
Enrollment ID: O20101012001097
Entity NameAvera Marshall
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962641936
PECOS PAC ID: 5799695227
Enrollment ID: O20191211001152

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. Susan Passalaqua 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
Susan Passalaqua, MD
2940 E Banner Gateway Dr. Ste 450,
Gilbert, AZ 85234

Ph: (480) 425-5063
Susan Passalaqua, MD
2946 E Banner Gateway Dr.,
Gilbert, AZ 85234

Ph: (480) 256-6444

Reviews and Comments


Radiology Doctors in Gilbert, AZ

Dr. Georg Hernandez, M.D.
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Practice Location: 4001 E Baseline Rd Ste 105, Gilbert, AZ 85234
Phone: 480-632-5378    Fax: 480-632-1821
Yerko O Borghero, MD
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Phone: 480-256-3676    Fax: 480-256-3608
Dr. Joel R Meyer, MD
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Practice Location: Banner Md Anderson Cancer Center, 2940 E. Banner Gateway Drive Suite 350, Gilbert, AZ 85234
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Sarah E Nicholas, MD
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Practice Location: Banner Md Anderson Cancer Center, 2946 E. Banner Gateway Drive, Gilbert, AZ 85234
Phone: 480-256-6444    Fax: 480-256-3682
Dr. Matthew D Callister, M.D.
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Practice Location: 2940 E Banner Gateway Dr, Suite 450, Gilbert, AZ 85234
Phone: 480-256-6444    
Dr. Philippe Lanauze, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 2946 E Banner Gateway Dr., Gilbert, AZ 85234
Phone: 480-256-6444    Fax: 480-256-4683
Gary Walker, M.D., M.P.H., M.S.
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Medicare: Accepting Medicare Assignments
Practice Location: 2946 E Banner Gateway Dr, Gilbert, AZ 85234
Phone: 480-256-4500    

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.

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