Susan Passalaqua, MD - Medicare Diagnostic Radiology in Gilbert, AZ

Susan Passalaqua, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Gilbert, Arizona. She went to Medical College Of Ohio and graduated in 1996 and has 28 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Avera Mckennan, Madison Community Hospital, Avera Marshall, Urology Specialists Chartered, Avera Queen Of Peace and her current practice location is 2946 E Banner Gateway Dr., Gilbert, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 256-6444.

Susan Passalaqua is licensed to practice in Arizona (license number 32391) 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 1891784880.

Contact Information

Susan Passalaqua, MD
2946 E Banner Gateway Dr.,
Gilbert, AZ 85234
(480) 256-6444
(480) 256-4683



Physician's Profile

Full NameSusan Passalaqua
GenderFemale
SpecialityDiagnostic Radiology
Experience28 Years
Location2946 E Banner Gateway Dr., Gilbert, Arizona
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:
  • Susan Passalaqua attended and graduated from Medical College Of Ohio in 1996
  NPI Data:
  • NPI Number: 1891784880
  • Provider Enumeration Date: 10/21/2005
  • Last Update Date: 01/21/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3375520919
  • Enrollment ID: I20230113002420

Medical Identifiers

Medical identifiers for Susan Passalaqua such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891784880NPI-NPPES
843880MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 32391 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Avera Mckennan Hospital & University Health CenterSioux falls, SDHospital
Avera Heart Hospital Of South DakotaSioux falls, SDHospital
Brookings Health SystemBrookings, SDHospital
Avera Marshall Regional Medical CtrMarshall, MNHospital
Regional Health Services Of Howard CountyCresco, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Avera Mckennan0345157103848
Madison Community Hospital377957974339
Avera Marshall579969522775
Urology Specialists Chartered923403132941
Avera Queen Of Peace933505080684

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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. Susan Passalaqua allows following entities to bill medicare on her behalf.
Entity NameAvera Mckennan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003389206
PECOS PAC ID: 0345157103
Enrollment ID: O20031110000117

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Entity NameAvera Queen Of Peace
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205359031
PECOS PAC ID: 9335050806
Enrollment ID: O20031229000301

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Entity NameUrology Specialists Chartered
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881647246
PECOS PAC ID: 9234031329
Enrollment ID: O20040121000003

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Entity NameMadison Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588644058
PECOS PAC ID: 3779579743
Enrollment ID: O20040423000982

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Entity NameMadison Community Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1588644058
PECOS PAC ID: 3779579743
Enrollment ID: O20101012001097

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Entity NameAvera Marshall
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962641936
PECOS PAC ID: 5799695227
Enrollment ID: O20191211001152

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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. Susan Passalaqua 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
Susan Passalaqua, MD
2940 E Banner Gateway Dr. Ste 450,
Gilbert, AZ 85234

Ph: (480) 425-5063
Susan Passalaqua, MD
2946 E Banner Gateway Dr.,
Gilbert, AZ 85234

Ph: (480) 256-6444

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Read more News

› Verified 4 days ago


Radiology Doctors in Gilbert, AZ

Dr. Georg Hernandez, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 4001 E Baseline Rd Ste 105, Gilbert, AZ 85234
Phone: 480-632-5378    Fax: 480-632-1821
Yerko O Borghero, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2940 E Banner Gateway Dr, Suite 450, Gilbert, AZ 85234
Phone: 480-256-3676    Fax: 480-256-3608
Dr. Joel R Meyer, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: Banner Md Anderson Cancer Center, 2940 E. Banner Gateway Drive Suite 350, Gilbert, AZ 85234
Phone: 480-256-6444    Fax: 480-256-3682
Sarah E Nicholas, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: Banner Md Anderson Cancer Center, 2946 E. Banner Gateway Drive, Gilbert, AZ 85234
Phone: 480-256-6444    Fax: 480-256-3682
Dr. Matthew D Callister, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 2940 E Banner Gateway Dr, Suite 450, Gilbert, AZ 85234
Phone: 480-256-6444    
Dr. Philippe Lanauze, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2946 E Banner Gateway Dr., Gilbert, AZ 85234
Phone: 480-256-6444    Fax: 480-256-4683
Gary Walker, M.D., M.P.H., M.S.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2946 E Banner Gateway Dr, Gilbert, AZ 85234
Phone: 480-256-4500    

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