| 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 | 24 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 |
|---|---|---|
| Marion General Hospital | Marion, IN | Hospital |
| Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
| The Orthopaedic Hospital Of Lutheran Health Networ | Fort wayne, IN | Hospital |
| Parkview Logansport Hospital, Inc | Logansport, IN | Hospital |
| Greene County General Hospital | Linton, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry County Memorial Hospital | 6002724085 | 153 |
| Greene County General Hospital | 2961481544 | 102 |
| Summit Radiology P C | 0143295410 | 101 |
| Ella E M Brown Charitable Circle | 1254228745 | 172 |
| Pacific Imaging Associates Llc | 3577923499 | 69 |
| Summit Radiology P C | 0143295410 | 101 |
| 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 | Greene County General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184695389 PECOS PAC ID: 2961481544 Enrollment ID: O20040716000806 |
| 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 P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073584587 PECOS PAC ID: 0143295410 Enrollment ID: O20040831000152 |
| 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 | 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 |
| Entity Name | Pacific Imaging Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265137574 PECOS PAC ID: 3577923499 Enrollment ID: O20250611003763 |
| 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 |
Bruce Monson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 429 S Landmark Ave, Bloomington, IN 47403 Phone: 812-332-8242 Fax: 812-333-7684 |