| Johnathan Au, MD, MPH | |
|
2650 Ridge Ave., Dept. Of Radiology, Evanston, IL 60201 | |
| (847) 570-2486 | |
| Not Available |
| Full Name | Johnathan Au |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 7 Years |
| Location | 2650 Ridge Ave., Evanston, Illinois |
| 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 |
|---|---|---|---|
| 1518463231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 83034-20 (Wisconsin) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 036163315 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Vincent Hospital | Green bay, WI | Hospital |
| St Mary's Hospital Medical Center | Green bay, WI | Hospital |
| Door County Medical Center | Sturgeon bay, WI | Hospital |
| St Nicholas Hospital | Sheboygan, WI | Hospital |
| Hshs St Clare Memorial Hospital | Oconto falls, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Associates Of The Fox Valley Sc | 0446152748 | 41 |
| Gbr Sheboygan Llc | 1951341064 | 22 |
| Green Bay Radiology Sc | 7113908310 | 23 |
| Radiology Associates Of The Fox Valley Sc | 0446152748 | 41 |
| Gbr Sheboygan Llc | 1951341064 | 22 |
| St Vincent Hospital-hospital Sisters-third Order Of St Francis | 5799694675 | 567 |
| Green Bay Radiology Sc | 7113908310 | 23 |
| St. Nicholas Hospital-sisters Of The Third Order Of St Francis | 8325931652 | 157 |
| Orthopedic And Sports Medicine Specialists Of Green Bay Sc | 9739264714 | 52 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Entity Name | Gbr Sheboygan Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467529917 PECOS PAC ID: 1951341064 Enrollment ID: O20240208001165 |
| Entity Name | Green Bay Radiology Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447327986 PECOS PAC ID: 7113908310 Enrollment ID: O20240314000576 |
| Entity Name | Radiology Associates Of The Fox Valley Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477539443 PECOS PAC ID: 0446152748 Enrollment ID: O20240417001507 |
| Mailing Address | Practice Location Address |
|---|---|
| Johnathan Au, MD, MPH 2650 Ridge Ave., Dept. Of Radiology, Evanston, IL 60201 Ph: (847) 570-2486 | Johnathan Au, MD, MPH 2650 Ridge Ave., Dept. Of Radiology, Evanston, IL 60201 Ph: (847) 570-2486 |
Dr. Daniel K. West, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942 | |
Joel Bernstein, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-1206 Fax: 847-570-1248 | |
Dr. Marc J Alonzo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942 | |
Ali Abbas Al-saraf, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2477 | |
Anupam Basu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-2000 | |
Dr. Joseph Michael Montalbano, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942 | |
Stefan Ryan Erickson, Radiology Medicare: Accepting Medicare Assignments Practice Location: 355 Ridge Ave, Evanston, IL 60202 Phone: 847-316-4000 |