Dr Jonathan Gusdorff, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Havertown, Pennsylvania. He went to Philadelphia College Of Osteopathic Medicine and graduated in 1998 and has 27 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Indiana University Radiology Associates Inc and his current practice location is
1305 W Chester Pike, Havertown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(610) 482-4949.
Dr Jonathan Gusdorff is licensed to practice in Pennsylvania (license number OS010370L) 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 1891792255.
Physician's Profile
| Full Name | Dr Jonathan Gusdorff |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 27 Years |
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| Location | 1305 W Chester Pike, Havertown, Pennsylvania |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jonathan Gusdorff attended and graduated from Philadelphia College Of Osteopathic Medicine in 1998
NPI Data:
- NPI Number: 1891792255
- Provider Enumeration Date: 06/30/2005
- Last Update Date: 11/21/2019
Medicare PECOS Information:
- PECOS PAC ID: 0446235832
- Enrollment ID: I20191209001488
Medical Identifiers
Medical identifiers for Dr Jonathan Gusdorff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891792255 | NPI | - | NPPES |
| 200114580A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085N0700X | Radiology - Neuroradiology | 02005865A (Indiana) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 4519 (Oklahoma) | Secondary |
| 174400000X | Specialist | OS010370L (Pennsylvania) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | OS010370L (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Indiana University Radiology Associates Inc | 7315922267 | 219 |
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 Jonathan Gusdorff allows following entities to bill medicare on his behalf.
| Entity Name | Indiana University Radiology Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336192665
PECOS PAC ID: 7315922267
Enrollment ID: O20040623001054 |
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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. Dr Jonathan Gusdorff 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 |
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Dr Jonathan Gusdorff, DO
1305 W Chester Pike,
Havertown, PA 19083-2929
Ph: (610) 482-4949 | Dr Jonathan Gusdorff, DO
1305 W Chester Pike,
Havertown, PA 19083-2929
Ph: (610) 482-4949 |
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