| Dr Jonathan Andrew Staser, MD | |
|
429 S Landmark Avenue, Bloomington, IN 47403-5003 | |
| (812) 332-8242 | |
| (812) 333-7684 |
| Full Name | Dr Jonathan Andrew Staser |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 23 Years |
| Location | 429 S Landmark Avenue, Bloomington, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043339310 | NPI | - | NPPES |
| 50249 | Other | IA | WELLMARK BCBS |
| 200864320 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 01060288A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
| Marion General Hospital | Marion, IN | Hospital |
| Providence St Peter Hospital | Olympia, WA | Hospital |
| Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
| Swedish Medical Center | Seattle, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Radiology P C | 0143295410 | 85 |
| Deaconess Intercity Imaging Llc | 0941238042 | 13 |
| Ella E M Brown Charitable Circle | 1254228745 | 141 |
| Greene County General Hospital | 2961481544 | 60 |
| Radia Oregon Radiology Medical Group Llc | 2961852637 | 95 |
| Evergreen Radia Llc | 4587568076 | 101 |
| Swedish Radia Imaging Center At Edmonds Llc | 5496778292 | 101 |
| Henry County Memorial Hospital | 6002724085 | 136 |
| Radia California Radiology Medical Group Inc | 8921465998 | 115 |
| Intercity Radiology Pc | 9830003847 | 41 |
| Radia Inc P S | 9931012812 | 263 |
| Summit Radiology P C | 0143295410 | 85 |
| Swedish Health Services | 0244138196 | 934 |
| Swedish Health Services | 3173433067 | 132 |
| Entity Name | Henry County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891570537 PECOS PAC ID: 6002724085 Enrollment ID: O20031121000221 |
| Entity Name | Sira Imaging Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558326124 PECOS PAC ID: 3274425996 Enrollment ID: O20040327000005 |
| Entity Name | Southern Indiana Radiological Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346205911 PECOS PAC ID: 3173415890 Enrollment ID: O20040719001304 |
| Entity Name | Summit Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073584587 PECOS PAC ID: 0143295410 Enrollment ID: O20040831000152 |
| Entity Name | Radia Inc P S |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932196607 PECOS PAC ID: 9931012812 Enrollment ID: O20240405001456 |
| Entity Name | South Sound Radiologists Inc P S |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902990500 PECOS PAC ID: 1254229305 Enrollment ID: O20240510001680 |
| Entity Name | Intercity Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356390736 PECOS PAC ID: 9830003847 Enrollment ID: O20240725000662 |
| Entity Name | Swedish Radia Imaging Center At Edmonds Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164494373 PECOS PAC ID: 5496778292 Enrollment ID: O20240812000961 |
| Entity Name | Radia Imaging Center Holdings Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639653017 PECOS PAC ID: 6305182965 Enrollment ID: O20240927001636 |
| Entity Name | Radia Oregon Radiology Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073385423 PECOS PAC ID: 2961852637 Enrollment ID: O20241004000324 |
| Entity Name | Evergreen Radia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922095694 PECOS PAC ID: 4587568076 Enrollment ID: O20241009002345 |
| Entity Name | Deaconess Intercity Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497704860 PECOS PAC ID: 0941238042 Enrollment ID: O20241119004101 |
| Entity Name | Radia California Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740982032 PECOS PAC ID: 8921465998 Enrollment ID: O20241223000772 |
| Entity Name | Ella E M Brown Charitable Circle |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043660467 PECOS PAC ID: 1254228745 Enrollment ID: O20250506002352 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Andrew Staser, MD Po Box 4366, Bloomington, IN 47402-4366 Ph: (812) 332-8242 | Dr Jonathan Andrew Staser, MD 429 S Landmark Avenue, Bloomington, IN 47403-5003 Ph: (812) 332-8242 |
Dr. Douglas Geiger, MD Radiology Medicare: Medicare Enrolled Practice Location: 429 S Landmark Ave, Bloomington, IN 47403 Phone: 812-332-8242 Fax: 812-333-7684 | |
Dr. Bharati Kharkar, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2620 Cota Dr, Bloomington, IN 47403 Phone: 812-332-8242 Fax: 812-333-7684 | |
Donald C Buehner, Radiology Medicare: Not Enrolled in Medicare Practice Location: 500 S. Landmark Ave, Bloomington, IN 47402 Phone: 812-332-8242 Fax: 812-333-7684 | |
Dr. Philip Doering, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 429 S Landmark Ave, Bloomington, IN 47403 Phone: 812-332-8242 Fax: 812-333-7684 | |
Dr. David Yoon Lee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2620 Cota Dr, Bloomington, IN 47403 Phone: 812-353-2800 Fax: 812-335-9569 | |
Nicholas P Miller, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 429 S Landmark Ave, Bloomington, IN 47403 Phone: 812-332-8242 Fax: 812-333-7684 |