Dr Leroy Evan Custer, MD - Medicare Radiology in Berkeley, CA

Dr Leroy Evan Custer, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Berkeley, California. His current practice location is 2450 Ashby Ave, Berkeley, California. You can reach out to his office (for appointments etc.) via phone at (925) 296-7156.

Dr Leroy Evan Custer is licensed to practice in California (license number G12559) 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 1538104179.

Contact Information

Dr Leroy Evan Custer, MD
2450 Ashby Ave,
Berkeley, CA 94705-2067
(925) 296-7156
(925) 296-7174

Map and Direction




Physician's Profile

Full NameDr Leroy Evan Custer
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location2450 Ashby Ave, Berkeley, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538104179
  • Provider Enumeration Date: 06/18/2006
  • Last Update Date: 01/29/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 4587691357
  • Enrollment ID: I20050722000814

Medical Identifiers

Medical identifiers for Dr Leroy Evan Custer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538104179NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology G12559 (California)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. Dr Leroy Evan Custer allows following entities to bill medicare on his behalf.
Entity NameContra Costa County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376620336
PECOS PAC ID: 8628052974
Enrollment ID: O20050707001058

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 Leroy Evan Custer 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 Leroy Evan Custer, MD
175 Lennon Ln, Suite 100,
Walnut Creek, CA 94598-2485

Ph: (925) 296-7156
Dr Leroy Evan Custer, MD
2450 Ashby Ave,
Berkeley, CA 94705-2067

Ph: (925) 296-7156

Reviews and Comments


Radiology Doctors in Berkeley, CA

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Phone: 925-296-7156    Fax: 925-296-7174
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Dr. Lawrence Holmes, M.D.
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Practice Location: 2450 Ashby Ave, Berkeley, CA 94705
Phone: 925-296-7156    Fax: 925-296-7174

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.