Cooper R Gundry, MD in St Louis Park, MN - Medicare Diagnostic Radiology

Cooper R Gundry, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in St Louis Park, Minnesota. He went to Oregon Health Sciences University School Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Network Imaging Associates Llc, Smi Imaging Llc, Smi Imaging Llc, Simonmed Imaging Florida Llc, Howard Simon Md Pc and his current practice location is 5775 Wayzata Boulevard, Suite 190, St Louis Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 541-1840.

Cooper R Gundry is licensed to practice in Minnesota (license number 33771) 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 1659348431.

Contact Information

	Cooper R Gundry, MD
	5775 Wayzata Boulevard, Suite 190, St Louis Park, MN 55416
	(952) 541-1840
	(952) 513-6880

Map and Direction

Physician's Profile

Full Name	Cooper R Gundry
Gender	Male
Speciality	Diagnostic Radiology
Experience	41 Years
Location	5775 Wayzata Boulevard, St Louis Park, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Cooper R Gundry attended and graduated from Oregon Health Sciences University School Of Medicine in 1983

NPI Data:

NPI Number: 1659348431
Provider Enumeration Date: 03/01/2006
Last Update Date: 02/17/2012

Medicare PECOS Information:

PECOS PAC ID: 9830092246
Enrollment ID: I20180212001191

Medical Identifiers

Medical identifiers for Cooper R Gundry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659348431	NPI	-	NPPES
280202500	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	33771 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Network Imaging Associates Llc	1355373895	4
Smi Imaging Llc	3476696220	239
Smi Imaging Llc	3476696220	239
Simonmed Imaging Florida Llc	6608036108	152
Howard Simon Md Pc	7214369966	24

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. Cooper R Gundry allows following entities to bill medicare on his behalf.

Entity Name	Smi Imaging Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972004489 PECOS PAC ID: 3476696220 Enrollment ID: O20180829003142

Entity Name	Howard Simon Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659930998 PECOS PAC ID: 7214369966 Enrollment ID: O20200123001656

Entity Name	Network Imaging Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588739247 PECOS PAC ID: 1355373895 Enrollment ID: O20221221001168

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. Cooper R Gundry 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
Cooper R Gundry, MD Po Box 1450 Nw6035, Minneapolis, MN 55485-6035 Ph: (952) 542-8553	Cooper R Gundry, MD 5775 Wayzata Boulevard, Suite 190, St Louis Park, MN 55416 Ph: (952) 541-1840

Reviews and Comments

Radiology Doctors in St Louis Park, MN

Dr. Chung M Lee, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3212
Kenneth B Heithoff, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 5775 Wayzata Boulevard, Suite 190, St Louis Park, MN 55416 Phone: 952-541-1840 Fax: 952-513-6880
Mark E Myers, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5775 Wayzata Blvd, Suite 190, St Louis Park, MN 55416 Phone: 952-525-6328 Fax: 952-513-6880
Dr. Michael T Akin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 959-299-3539
Deborah Steen, Radiology Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5391
Paige N Misselt, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 612-385-0911
Thomas J Gilbert Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5775 Wayzata Boulevard, Suite 190, St Louis Park, MN 55416 Phone: 952-541-1840 Fax: 952-513-6880

Cooper R Gundry, MD - Medicare Diagnostic Radiology in St Louis Park, MN