Jonathan Brett Fugitt, MD in Placerville, CA - Medicare Diagnostic Radiology

Jonathan Brett Fugitt, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Placerville, California. He went to Jefferson Medical College Of Thomas Jefferson University 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 Tahoe Forest Hospital District and his current practice location is 1100 Marshall Way, Marshall Medical Center, Placerville, California. You can reach out to his office (for appointments etc.) via phone at (530) 626-2774.

Jonathan Brett Fugitt is licensed to practice in California (license number A85990) 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 1588635684.

Contact Information

	Jonathan Brett Fugitt, MD
	1100 Marshall Way, Marshall Medical Center, Placerville, CA 95667
	(530) 626-2774
	(509) 248-0178

Map and Direction

Physician's Profile

Full Name	Jonathan Brett Fugitt
Gender	Male
Speciality	Diagnostic Radiology
Experience	27 Years
Location	1100 Marshall Way, Placerville, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jonathan Brett Fugitt attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 1998

NPI Data:

NPI Number: 1588635684
Provider Enumeration Date: 01/28/2006
Last Update Date: 12/27/2016

Medicare PECOS Information:

PECOS PAC ID: 7214074707
Enrollment ID: I20091103000207

Medical Identifiers

Medical identifiers for Jonathan Brett Fugitt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588635684	NPI	-	NPPES
GR0053460	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	A85990 (California)	Primary
2085N0700X	Radiology - Neuroradiology	A85992 (California)	Secondary
2085U0001X	Radiology - Diagnostic Ultrasound	A85990 (California)	Secondary
2085B0100X	Radiology - Body Imaging	A85990 (California)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	MD60491574 (Washington)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Marshall Medical Center	Placerville, CA	Hospital
Tahoe Forest Hospital	Truckee, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tahoe Forest Hospital District	0446161335	121

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. Jonathan Brett Fugitt allows following entities to bill medicare on his behalf.

Entity Name	Tahoe Forest Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750412300 PECOS PAC ID: 0446161335 Enrollment ID: O20050329001397

Entity Name	Placerville Radiology Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700847621 PECOS PAC ID: 0143382374 Enrollment ID: O20090114000165

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. Jonathan Brett Fugitt 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
Jonathan Brett Fugitt, MD 681 Main Street, Ste 105, Placerville, CA 95667 Ph: (530) 626-1166	Jonathan Brett Fugitt, MD 1100 Marshall Way, Marshall Medical Center, Placerville, CA 95667 Ph: (530) 626-2774

Reviews and Comments

Radiology Doctors in Placerville, CA

Alexander Cheng-kang Guo, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Marshall Way, Placerville, CA 95667 Phone: 530-626-1166 Fax: 530-626-3826
Robert L Houts, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1100 Marshall Way, Marshall Medical Center, Placerville, CA 95667 Phone: 530-622-1441
Anietie E Okon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Marshall Way, Marshall Medical Center, Placerville, CA 95667 Phone: 530-626-1166 Fax: 530-626-3826
Richard Wayne Budenz, PHD MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1100 Marshall Way, Marshall Medical Center, Placerville, CA 95667 Phone: 530-622-1441
Jerry P Arnold, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1100 Marshall Way, Placerville, CA 95667 Phone: 530-622-1441 Fax: 530-626-3826
Algimantas Balciunas, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1100 Marshall Way, Marshall Medical Center, Placerville, CA 95667 Phone: 530-622-1441

Jonathan Brett Fugitt, MD - Medicare Diagnostic Radiology in Placerville, CA