Dr Adam Christopher Robert Danielson, MD is a medicare enrolled "Nuclear Medicine" physician in Park Ridge, Illinois. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Mountain Medical Physician Specialists Pc, Wasatch Imaging Llc and his current practice location is
1775 Dempster St, Park Ridge, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 723-2210.
Dr Adam Christopher Robert Danielson is licensed to practice in Utah (license number 10237201-1205) 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 1104073386.
Physician's Profile
Full Name | Dr Adam Christopher Robert Danielson |
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Gender | Male |
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Speciality | Diagnostic Radiology |
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Experience | 16 Years |
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Location | 1775 Dempster St, Park Ridge, Illinois |
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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:
- Dr Adam Christopher Robert Danielson graduated from medical school in 2008
NPI Data:
- NPI Number: 1104073386
- Provider Enumeration Date: 08/19/2008
- Last Update Date: 01/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 0941579676
- Enrollment ID: I20170711003603
Medical Identifiers
Medical identifiers for Dr Adam Christopher Robert Danielson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104073386 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 10237201-1205 (Utah) | Secondary |
207U00000X | Nuclear Medicine | 10237201-1205 (Utah) | Primary |
207R00000X | Internal Medicine | 125.054103 (Illinois) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mountain Medical Physician Specialists Pc | 5294639407 | 32 |
Wasatch Imaging Llc | 7012949522 | 6 |
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. Dr Adam Christopher Robert Danielson allows following entities to bill medicare on his behalf.
Entity Name | Mountain Medical Physician Specialists Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720035520 PECOS PAC ID: 5294639407 Enrollment ID: O20031120000357 |
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Entity Name | Wasatch Imaging Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679645139 PECOS PAC ID: 7012949522 Enrollment ID: O20050906000837 |
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Entity Name | University Of Utah Adult Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
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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. Dr Adam Christopher Robert Danielson 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 |
Dr Adam Christopher Robert Danielson, MD 5334 S Woodrow St, Ste 100, Murray, UT 84107-5838 Ph: (801) 284-1702 | Dr Adam Christopher Robert Danielson, MD 1775 Dempster St, Park Ridge, IL 60068 Ph: (847) 723-2210 |
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