Gina Fundaro, MD - Medicare Diagnostic Radiology in Detroit, MI

Gina Fundaro, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Detroit, Michigan. She went to Wayne State University School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Regional Medical Imaging Pc and her current practice location is 4100 John R St, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 745-8042.

Gina Fundaro is licensed to practice in Michigan (license number 4301074481) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275520512.

Contact Information

Gina Fundaro, MD
4100 John R St,
Detroit, MI 48201-2013
(313) 745-8042
(313) 745-2314



Physician's Profile

Full NameGina Fundaro
GenderFemale
SpecialityDiagnostic Radiology
Experience25 Years
Location4100 John R St, Detroit, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gina Fundaro attended and graduated from Wayne State University School Of Medicine in 1999
  NPI Data:
  • NPI Number: 1275520512
  • Provider Enumeration Date: 10/03/2005
  • Last Update Date: 10/07/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5496721573
  • Enrollment ID: I20040909000630

Medical Identifiers

Medical identifiers for Gina Fundaro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275520512NPI-NPPES
7005261920OtherMIBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 4301074481 (Michigan)Secondary
2085R0202XRadiology - Diagnostic Radiology 4301074481 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Regional Medical Imaging Pc468863769720

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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. Gina Fundaro allows following entities to bill medicare on her behalf.
Entity NameRegional Medical Imaging Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427057967
PECOS PAC ID: 4688637697
Enrollment ID: O20041110000950

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Entity NameRadadvantage A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376719666
PECOS PAC ID: 2163597899
Enrollment ID: O20150715000075

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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. Gina Fundaro 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
Gina Fundaro, MD
24601 Northwestern Hwy,
Southfield, MI 48075-2473

Ph: (248) 827-4580
Gina Fundaro, MD
4100 John R St,
Detroit, MI 48201-2013

Ph: (313) 745-8042

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Radiology Doctors in Detroit, MI

Dr. Brent David Griffith, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-2600    
Kanika Khanna, M.D
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-2600    
Dr. Michael Matthew Dominello, DO
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 4100 John R, Detroit, MI 48201
Phone: 800-527-6266    Fax: 313-576-9640
Rajinder P. Sharma, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202
Phone: 313-916-2436    
Milan V. Pantelic, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202
Phone: 313-916-2436    
Kristan Gail Jenkins-mosure, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 800-653-6568    
Kristin Booth, DO
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 517-402-1383    

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