Dr Daniel Susanto, MD - Medicare Diagnostic Radiology in Lynnwood, WA

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Dr Daniel Susanto, MD is a medicare enrolled "Radiology - Neuroradiology" physician in Lynnwood, Washington. He went to Medical College Of Wisconsin and graduated in 2004 and has 20 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Central Washington Health Services Association, Evergreen Radia Llc, Medford Radiological Group Pc, Radia California Radiology Medical Group Inc, Radia Imaging Center Holdings Llc, Radia Inc P S, Radiology Associates Pa, South Sound Radiologists Inc P S, Swedish Health Services, Swedish Radia Imaging Center At Edmonds Llc, Tower Imaging Medical Associates Inc, Radia Inc P S and his current practice location is 19020 33rd Ave W Ste 210, Lynnwood, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 563-1500.

Dr Daniel Susanto is licensed to practice in Washington (license number MD60083485) 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 1144364605.

Contact Information

Dr Daniel Susanto, MD
19020 33rd Ave W Ste 210,
Lynnwood, WA 98036-4748
(425) 563-1500
(425) 563-1501

Map and Direction




Physician's Profile

Full NameDr Daniel Susanto
GenderMale
SpecialityDiagnostic Radiology
Experience20 Years
Location19020 33rd Ave W Ste 210, Lynnwood, Washington
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 Daniel Susanto attended and graduated from Medical College Of Wisconsin in 2004
  NPI Data:
  • NPI Number: 1144364605
  • Provider Enumeration Date: 02/17/2007
  • Last Update Date: 11/05/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6507999299
  • Enrollment ID: I20100802000582

Medical Identifiers

Medical identifiers for Dr Daniel Susanto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144364605NPI-NPPES
1144364605MedicaidID
263299OtherWALNI
1584895MedicaidAK
263302OtherWALNI
263305OtherWALNI
2007663MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 17687 (Minnesota)Secondary
2085R0202XRadiology - Diagnostic Radiology MD60083485 (Washington)Secondary
2085R0202XRadiology - Diagnostic Radiology S-7900 (Alaska)Secondary
2085R0202XRadiology - Diagnostic Radiology M-12378 (Idaho)Secondary
2085N0700XRadiology - Neuroradiology MD60083485 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Swedish Medical Center / Cherry HillSeattle, WAHospital
Providence Regional Medical Center EverettEverett, WAHospital
Central Washington HospitalWenatchee, WAHospital
St Vincent Medical Center/northSherwood, ARHospital
Peacehealth Southwest Medical CenterVancouver, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Central Washington Health Services Association4880504596645
Evergreen Radia Llc458756807695
Medford Radiological Group Pc206230332478
Radia California Radiology Medical Group Inc892146599879
Radia Imaging Center Holdings Llc630518296546
Radia Inc P S9931012812254
Radiology Associates Pa751795391289
South Sound Radiologists Inc P S125422930558
Swedish Health Services3173433067103
Swedish Radia Imaging Center At Edmonds Llc549677829276
Tower Imaging Medical Associates Inc216360868842
Radia Inc P S9931012812254

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 Daniel Susanto allows following entities to bill medicare on his behalf.
Entity NameCentral Washington Health Services Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801937453
PECOS PAC ID: 4880504596
Enrollment ID: O20031106000287
Entity NameRadia Inc P S
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932196607
PECOS PAC ID: 9931012812
Enrollment ID: O20031106000749
Entity NameSwedish Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831139724
PECOS PAC ID: 9537072814
Enrollment ID: O20031112000189
Entity NameProliance Surgeons Inc Ps
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023170313
PECOS PAC ID: 8527972900
Enrollment ID: O20031119000128
Entity NameEvergreen Radia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922095694
PECOS PAC ID: 4587568076
Enrollment ID: O20031125000896
Entity NameThe Everett Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831186766
PECOS PAC ID: 6406752153
Enrollment ID: O20031211000922
Entity NameSwedish Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689612954
PECOS PAC ID: 0244138196
Enrollment ID: O20031230000187
Entity NameOkanogan County Public Hospital District No. 3
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255387403
PECOS PAC ID: 6800707951
Enrollment ID: O20040128000027
Entity NamePublic Hospital District No 4 King County Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902846546
PECOS PAC ID: 6002700861
Enrollment ID: O20040211001236
Entity NameSouth Sound Radiologists Inc P S
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902990500
PECOS PAC ID: 1254229305
Enrollment ID: O20040309001119
Entity NameOkanogan County Public Hospital Dist No 4
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750443834
PECOS PAC ID: 9335051150
Enrollment ID: O20040323000641
Entity NameSwedish Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114356904
PECOS PAC ID: 3173433067
Enrollment ID: O20040414000671
Entity NameSwedish Radia Imaging Center At Edmonds Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164494373
PECOS PAC ID: 5496778292
Enrollment ID: O20060106000841
Entity NamePublic Hospital District No 4 King County Washington
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1902846546
PECOS PAC ID: 6002700861
Enrollment ID: O20061104000416
Entity NamePublic Hospital District No 4 King County Washington
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1194929471
PECOS PAC ID: 6002700861
Enrollment ID: O20070911000784
Entity NameWenatchee Valley Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669719688
PECOS PAC ID: 9537309869
Enrollment ID: O20130716000034
Entity NameRadia Imaging Center Holdings Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639653017
PECOS PAC ID: 6305182965
Enrollment ID: O20190118000572
Entity NameRadiology Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366438186
PECOS PAC ID: 7517953912
Enrollment ID: O20200713001634
Entity NameDirect Imaging Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689283285
PECOS PAC ID: 6103244934
Enrollment ID: O20200910002932
Entity NameMedford Radiological Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407938111
PECOS PAC ID: 2062303324
Enrollment ID: O20211201002559
Entity NameTower Imaging Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023315074
PECOS PAC ID: 2163608688
Enrollment ID: O20230103002616
Entity NameRedwood Radiology Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326461708
PECOS PAC ID: 7214168095
Enrollment ID: O20230518000519
Entity NameRadia California Radiology Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740982032
PECOS PAC ID: 8921465998
Enrollment ID: O20231108002477
Entity NameAdvanced Imaging Of South Bay, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003866914
PECOS PAC ID: 8628080520
Enrollment ID: O20240222003603

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 Daniel Susanto 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 Daniel Susanto, MD
19020 33rd Ave W Ste 210,
Lynnwood, WA 98036-4748

Ph: (425) 563-1500		Dr Daniel Susanto, MD
19020 33rd Ave W Ste 210,
Lynnwood, WA 98036-4748

Ph: (425) 563-1500

Reviews and Comments


Radiology Doctors in Lynnwood, WA

Dr. Patrick T. Hurley, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036
Phone: 425-563-1500    Fax: 425-563-1501
Dr. Michael Larson, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036
Phone: 425-563-1500    Fax: 425-563-1501
Dr. Brian James Mccallie, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036
Phone: 425-563-1500    Fax: 425-563-1501
Dr. Frederick F Kash, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036
Phone: 425-563-1500    Fax: 425-563-1501
Dr. Judson E Threlkeld, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036
Phone: 425-563-1500    Fax: 425-563-1501
Dr. Melissa A. Hayes Balmadrid, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036
Phone: 425-563-1500    Fax: 425-563-1501
Dr. Andrew James Harrison, DO
Radiology
Medicare: May Accept Medicare Assignments
Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036
Phone: 425-563-1500    Fax: 425-563-1501

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.