Donald Underwood, DO is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Phila, Pennsylvania. His current practice location is
230 N Broad St, Ms310, Phila, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 762-1808.
Donald Underwood is licensed to practice in Pennsylvania (license number OS007108E) 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 1932180890.
Physician's Profile
| Full Name | Donald Underwood |
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| Gender | Male |
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| Speciality | Radiology - Vascular & Interventional Radiology |
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| Location | 230 N Broad St, Phila, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1932180890
- Provider Enumeration Date: 11/08/2005
- Last Update Date: 11/07/2014
Medicare PECOS Information:
- PECOS PAC ID: 2769444223
- Enrollment ID: I20050712000982
Medical Identifiers
Medical identifiers for Donald Underwood such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1932180890 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | OS007108E (Pennsylvania) | 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. Donald Underwood allows following entities to bill medicare on his behalf.
| Entity Name | Atlantic Medical Imaging |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396771556 PECOS PAC ID: 0345215141 Enrollment ID: O20040826000336 |
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| Entity Name | Regional Diagnostic Imaging Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972575892 PECOS PAC ID: 3779593470 Enrollment ID: O20060426000029 |
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| Entity Name | Ami Atlanticare Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275762023 PECOS PAC ID: 7113073263 Enrollment ID: O20090915000606 |
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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. Donald Underwood 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 |
Donald Underwood, DO 1500 Market St, 24th Floor-west Tower, Phila, PA 19102-2100 Ph: (215) 255-3828 | Donald Underwood, DO 230 N Broad St, Ms310, Phila, PA 19102-1121 Ph: (215) 762-1808 |
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