Michael Connor, MD - Medicare Radiology in Lacey, WA

Michael Connor, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Lacey, Washington. His current practice location is 4525 3rd Ave Se # 100, Lacey, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 412-8960.

Michael Connor is licensed to practice in Washington (license number MD61319209) 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 1285165142.

Contact Information

Michael Connor, MD
4525 3rd Ave Se # 100,
Lacey, WA 98503-1010
(360) 412-8960
Not Available



Physician's Profile

Full NameMichael Connor
GenderMale
SpecialityRadiology - Radiation Oncology
Location4525 3rd Ave Se # 100, Lacey, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285165142
  • Provider Enumeration Date: 03/22/2017
  • Last Update Date: 04/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9931572963
  • Enrollment ID: I20230222001458

Medical Identifiers

Medical identifiers for Michael Connor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285165142NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0001XRadiology - Radiation Oncology MD61319209 (Washington)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. Michael Connor allows following entities to bill medicare on his behalf.
Entity NameRadiantcare Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851378160
PECOS PAC ID: 6608869581
Enrollment ID: O20040406001285

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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. Michael Connor 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
Michael Connor, MD
3855 Health Sciences Drive, Mc 0843,
La Jolla, CA 92093

Ph: () -
Michael Connor, MD
4525 3rd Ave Se # 100,
Lacey, WA 98503-1010

Ph: (360) 412-8960

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Radiology Doctors in Lacey, WA

Justin William Suszko, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 4525 3rd Ave Se Ste 100, Lacey, WA 98503
Phone: 360-412-8960    Fax: 360-412-8970
Joseph Robert Hartman, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 4525 3rd Ave Se, Suite 100, Lacey, WA 98503
Phone: 360-412-8960    Fax: 360-412-8970
Haleigh Ann Werner, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 4525 3rd Ave Se, Suite 100, Lacey, WA 98503
Phone: 360-412-8960    Fax: 360-412-8970
Gregory W Allen, M.D., PHD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 4525 3rd Ave Se, Suite 100, Lacey, WA 98503
Phone: 360-412-8960    Fax: 360-412-8970
James F Raymond, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 4525 3rd Ave Se, Suite 100, Lacey, WA 98503
Phone: 360-412-8960    Fax: 360-412-8970

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