Dr Jonathan Wyatt Bold, MD - Medicare Diagnostic Radiology in Oak Lawn, IL

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Dr Jonathan Wyatt Bold, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Oak Lawn, Illinois. He graduated from medical school in 1997 and has 29 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Geisinger Clinic, The Unity Hospital Of Rochester, Beloit Radiology Ltd, Regents Of The University Of California, Radiologists Associated In Duluth Ltd, Virtual Radiologic Professionals Llc, Rochester General Hospital, Advocate Health And Hospitals Corporation, Radiology Alliance Pc and his current practice location is 4440 W 95th St, Oak Lawn, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 684-6949.

Dr Jonathan Wyatt Bold is licensed to practice in Illinois (license number 036-129158) 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 1053390021.

Contact Information

Dr Jonathan Wyatt Bold, MD
4440 W 95th St,
Oak Lawn, IL 60453-2600
(708) 684-6949
Not Available

Map and Direction




Physician's Profile

Full NameDr Jonathan Wyatt Bold
GenderMale
SpecialityDiagnostic Radiology
Experience29 Years
Location4440 W 95th St, Oak Lawn, Illinois
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 Jonathan Wyatt Bold graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1053390021
  • Provider Enumeration Date: 01/10/2006
  • Last Update Date: 09/11/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 0042100679
  • Enrollment ID: I20040317001401

Medical Identifiers

Medical identifiers for Dr Jonathan Wyatt Bold such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053390021NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 10584 (Nevada)Secondary
2085R0202XRadiology - Diagnostic Radiology 036-129158 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Advocate Christ Hospital & Medical CenterOak lawn, ILHospital
Advocate Trinity HospitalChicago, ILHospital
Tristar Centennial Medical CenterNashville, TNHospital
Tristar Skyline Medical CenterNashville, TNHospital
Tristar Summit Medical CenterHermitage, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Geisinger Clinic53956570013432
The Unity Hospital Of Rochester9436060969732
Beloit Radiology Ltd327455971154
Regents Of The University Of California35774767612047
Radiologists Associated In Duluth Ltd428454720945
Virtual Radiologic Professionals Llc4981608817392
Rochester General Hospital822403683524
Advocate Health And Hospitals Corporation78108009353081
Radiology Alliance Pc1850280470449

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 Wyatt Bold allows following entities to bill medicare on his behalf.
Entity NameVirtual Radiologic Professionals LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932342029
PECOS PAC ID: 4981608817
Enrollment ID: O20061024000106
Entity NameRegents of the University of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558463927
PECOS PAC ID: 3577476761
Enrollment ID: O20110720000510
Entity NameRadiology Alliance PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861478489
PECOS PAC ID: 1850280470
Enrollment ID: O20130507000400
Entity NameGeisinger Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558313023
PECOS PAC ID: 5395657001
Enrollment ID: O20160404001315
Entity NameGeisinger-hm Joint Venture LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396207015
PECOS PAC ID: 1355676370
Enrollment ID: O20200303001221
Entity NameRadiologists Associated in Duluth Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598722688
PECOS PAC ID: 4284547209
Enrollment ID: O20210920002222
Entity NameAngelina Diagnostic Radiology Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033175302
PECOS PAC ID: 1850380890
Enrollment ID: O20220705002654
Entity NameRochester General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255360517
PECOS PAC ID: 8224036835
Enrollment ID: O20240710001891
Entity NameBeloit Radiology Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386661734
PECOS PAC ID: 3274559711
Enrollment ID: O20240802003366
Entity NameThe Unity Hospital of Rochester
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457395766
PECOS PAC ID: 9436060969
Enrollment ID: O20241022000788
Entity NameWarren General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811600307
PECOS PAC ID: 4880501402
Enrollment ID: O20250108001941
Entity NameKern County Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376623538
PECOS PAC ID: 4688964521
Enrollment ID: O20250605001650
Entity NameRadpod FL PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730075672
PECOS PAC ID: 9133624745
Enrollment ID: O20251010001428
Entity NameRadiology Associates of the Fox Valley SC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477539443
PECOS PAC ID: 0446152748
Enrollment ID: O20260212000221

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 Wyatt Bold 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 Jonathan Wyatt Bold, MD
8960 W Tropicana Ave Ste 100,
Las Vegas, NV 89147-8161

Ph: (702) 379-5234		Dr Jonathan Wyatt Bold, MD
4440 W 95th St,
Oak Lawn, IL 60453-2600

Ph: (708) 684-6949

Reviews and Comments


Radiology Doctors in Oak Lawn, IL

Dr. Choong H Koh, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 4440 W 95th Street, Oak Lawn, IL 60653
Phone: 708-345-5520    
Dr. Harris Shaikh, DO
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 4400 W 95th St, Oak Lawn, IL 60453
Phone: 708-684-3074    Fax: 708-684-2675
Kathleen G Draths Hanson, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 4440 W 95th St, Oak Lawn, IL 60453
Phone: 708-684-8000    Fax: 708-520-1039
Dr. Paul Michael Guzzetta Jr., MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 4440 W 95th St, Oak Lawn, IL 60453
Phone: 708-684-3077    Fax: 708-684-4800
Dr. Myrosia Tomiak Mitchell, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 4440 W 95th St, Advocate Christ Medical Center, Dept. Of Radiology, Oak Lawn, IL 60453
Phone: 708-915-5671    Fax: 708-915-4022
Dr. Annie Nguyet Dinh, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 4440 W 95th St, Oak Lawn, IL 60453
Phone: 708-684-5503    Fax: 708-684-2675
Nihal Gooneratne, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 4440 W 95th St, Oak Lawn, IL 60453
Phone: 708-648-5520    

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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.

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