| Dr Michael G Gunlock, | |
|
12554 Riata Vista Cir, Austin, TX 78727-6431 | |
| (512) 795-5100 | |
| (512) 795-5122 |
| Full Name | Dr Michael G Gunlock |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 32 Years |
| Location | 12554 Riata Vista Cir, Austin, Texas |
| 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 |
|---|---|---|---|
| 1588668370 | NPI | - | NPPES |
| 044644504 | Medicaid | TX | |
| 044644506 | Other | TX | CSHCN1 |
| 044644507 | Other | TX | CSHCN2 |
| P00236577 | Other | RRMCARE2 | |
| 044644505 | Medicaid | TX | |
| P00236577 | Other | RRMCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | K3745 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Virginia Mason Memorial | Yakima, WA | Hospital |
| Asante Rogue Regional Medical Center | Medford, OR | Hospital |
| Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
| Peacehealth Southwest Medical Center | Vancouver, WA | Hospital |
| Banner Gateway Medical Center | Gilbert, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radia Inc P S | 9931012812 | 275 |
| Radia Oregon Radiology Medical Group Llc | 2961852637 | 121 |
| Central Washington Health Services Association | 4880504596 | 696 |
| Radia Inc P S | 9931012812 | 275 |
| Radia Oregon Radiology Medical Group Llc | 2961852637 | 121 |
| Yakima Valley Memorial Physicians | 1557391596 | 407 |
| Medford Radiological Group Pc | 2062303324 | 97 |
| Central Washington Health Services Association | 4880504596 | 696 |
| Radia California Radiology Medical Group Inc | 8921465998 | 132 |
| Radiology Associates Pa | 7517953912 | 104 |
| Public Hospital District No 4 King County Washington | 6002700861 | 88 |
| Entity Name | Austin Radiological Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033196464 PECOS PAC ID: 4880686179 Enrollment ID: O20141212000668 |
| Entity Name | Singleton Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20170424001230 |
| Entity Name | Radiology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366438186 PECOS PAC ID: 7517953912 Enrollment ID: O20200302001508 |
| Entity Name | Medford Radiological Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407938111 PECOS PAC ID: 2062303324 Enrollment ID: O20201013003514 |
| 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: O20220221000275 |
| Entity Name | Wenatchee Valley Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669719688 PECOS PAC ID: 9537309869 Enrollment ID: O20220729000078 |
| Entity Name | Central Washington Health Services Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881642239 PECOS PAC ID: 4880504596 Enrollment ID: O20230201000617 |
| Entity Name | Redwood Radiology Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326461708 PECOS PAC ID: 7214168095 Enrollment ID: O20230717001817 |
| 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: O20231031003896 |
| 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: O20240320000095 |
| Entity Name | Ara/st. David's Imaging, Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720065170 PECOS PAC ID: 8426001496 Enrollment ID: O20240820002344 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael G Gunlock, 12554 Riata Vista Cir, Austin, TX 78727-6431 Ph: (512) 795-5100 | Dr Michael G Gunlock, 12554 Riata Vista Cir, Austin, TX 78727-6431 Ph: (512) 795-5100 |
Jason R. Wallace, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 12554 Riata Vista Circle, Austin, TX 78727 Phone: 512-795-5100 Fax: 512-795-5122 | |
Dr. Gregory Connor, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 12554 Riata Vista Cir, Austin, TX 78727 Phone: 512-795-5100 Fax: 512-795-5122 | |
Dr. Catherine Suchia Wu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4101 James Casey Blvd, #100, Austin, TX 78745 Phone: 512-447-2202 Fax: 512-447-5337 | |
Dr. Michael Troy Harper, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 12554 Riata Vista Circle, Austin, TX 78727 Phone: 512-795-5100 Fax: 512-795-5122 | |
Ian L. Love, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 8038 Mesa Dr, Austin, TX 78731 Phone: 512-901-8748 Fax: 512-901-8755 | |
Dr. Bradley Brenner, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 12554 Riata Vista Cir, Austin, TX 78727 Phone: 512-795-5100 Fax: 512-795-5122 | |
Dr. Gordon A. Witwer, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 12554 Riata Vista Circle, Austin, TX 78727 Phone: 512-795-5100 Fax: 512-795-5122 |