Gregory J Knudson, MD - Medicare Radiology in Appleton, WI

Gregory J Knudson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Appleton, Wisconsin. His current practice location is 2500 E Enterprise Ave, Unit C, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 739-5642.

Gregory J Knudson is licensed to practice in Wisconsin (license number 29727) 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 1457395519.

Contact Information

Gregory J Knudson, MD
2500 E Enterprise Ave, Unit C,
Appleton, WI 54913
(920) 739-5642
(920) 968-0259



Physician's Profile

Full NameGregory J Knudson
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location2500 E Enterprise Ave, Appleton, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457395519
  • Provider Enumeration Date: 06/16/2006
  • Last Update Date: 04/03/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 2860437647
  • Enrollment ID: I20100708000603

Medical Identifiers

Medical identifiers for Gregory J Knudson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457395519NPI-NPPES
31529000MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 29727 (Wisconsin)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. Gregory J Knudson allows following entities to bill medicare on his behalf.
Entity NameThedacare Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088

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Entity NameRadiology Associates Of Appleton Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407941909
PECOS PAC ID: 6002851862
Enrollment ID: O20050622000606

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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. Gregory J Knudson 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
Gregory J Knudson, MD
2500 E Enterprise Ave, Unit C,
Appleton, WI 54913

Ph: (920) 739-5642
Gregory J Knudson, MD
2500 E Enterprise Ave, Unit C,
Appleton, WI 54913

Ph: (920) 739-5642

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› Verified 4 days ago


Radiology Doctors in Appleton, WI

Stephanus J Macrander, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 2500 E Enterprise Ave, Unit C, Appleton, WI 54913
Phone: 920-739-5642    Fax: 920-968-0259
Maher Salahi, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2500 E Capitol Dr, Appleton, WI 54911
Phone: 920-739-5642    
Kristin Knott,
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 5471 W Waterford Ln, Appleton, WI 54913
Phone: 920-731-7445    
Anna Moreland,
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 424 E Pacific St, Appleton, WI 54911
Phone: 920-475-1201    
Stephen M. Bejvan, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2500 E Enterprise Ave, Unit C, Appleton, WI 54913
Phone: 920-739-5642    Fax: 920-968-0259
Keyvan Gharabeighlou, D.O.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2500 E Enterprise Ave, Unit C, Appleton, WI 54913
Phone: 920-739-5642    Fax: 920-968-0259
John E Sowin, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 2500 E Enterprise Ave, Unit C, Appleton, WI 54913
Phone: 920-739-5642    Fax: 920-968-0259

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