Dr Jonathan Wyatt Bold, MD - Medicare Diagnostic Radiology in Eden Prairie, MN

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Dr Jonathan Wyatt Bold, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Eden Prairie, Minnesota. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Radiology Alliance Pc, Specialists In Medical Imaging Sc, Integrated Imaging Consultants Llc, Radiologists Associated In Duluth Ltd, Virtual Radiologic Professionals Llc, Geisinger Clinic, Sanford Medical Center Fargo and his current practice location is 11995 Singletree Ln Ste 500, Eden Prairie, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 595-1301.

Dr Jonathan Wyatt Bold is licensed to practice in Nevada (license number 10584) 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 1053390021.

Contact Information

Dr Jonathan Wyatt Bold, MD
11995 Singletree Ln Ste 500,
Eden Prairie, MN 55344-5349
(952) 595-1301
(612) 294-4903

Map and Direction




Physician's Profile

Full NameDr Jonathan Wyatt Bold
GenderMale
SpecialityDiagnostic Radiology
Experience27 Years
Location11995 Singletree Ln Ste 500, Eden Prairie, Minnesota
Accepts Medicare AssignmentsYes. 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 Jonathan Wyatt Bold graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1053390021
  • Provider Enumeration Date: 01/10/2006
  • Last Update Date: 06/25/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0042100679
  • Enrollment ID: I20040317001401

Medical Identifiers

Medical identifiers for Dr Jonathan Wyatt Bold such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053390021NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 10584 (Nevada)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Advocate Christ Hospital & Medical CenterOak lawn, ILHospital
Advocate Trinity HospitalChicago, ILHospital
Tristar Centennial Medical CenterNashville, TNHospital
Tristar Skyline Medical CenterNashville, TNHospital
Saint Luke's East HospitalLees summit, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Radiology Alliance Pc1850280470230
Specialists In Medical Imaging Sc2163733544202
Integrated Imaging Consultants Llc2567784408169
Radiologists Associated In Duluth Ltd428454720945
Virtual Radiologic Professionals Llc4981608817352
Geisinger Clinic53956570012841
Sanford Medical Center Fargo84269678031085

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 Jonathan Wyatt Bold allows following entities to bill medicare on his behalf.
Entity NameVirtual Radiologic Professionals Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932342029
PECOS PAC ID: 4981608817
Enrollment ID: O20061024000106
Entity NameOhio Imaging Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982745618
PECOS PAC ID: 7113024480
Enrollment ID: O20100128000717
Entity NameRadadvantage A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376719666
PECOS PAC ID: 2163597899
Enrollment ID: O20100414000691
Entity NameRadiology Alliance Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861478489
PECOS PAC ID: 1850280470
Enrollment ID: O20130507000400
Entity NameGeisinger Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558313023
PECOS PAC ID: 5395657001
Enrollment ID: O20160404001315
Entity NameInterfaith Professional Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457643991
PECOS PAC ID: 9931378171
Enrollment ID: O20170413001373
Entity NameRed River Consultants Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902877426
PECOS PAC ID: 1355303363
Enrollment ID: O20190227002510
Entity NameGeisinger-hm Joint Venture Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396207015
PECOS PAC ID: 1355676370
Enrollment ID: O20200303001221
Entity NameSpecialists In Medical Imaging Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841687951
PECOS PAC ID: 2163733544
Enrollment ID: O20201001001378
Entity NameIntegrated Imaging Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700285335
PECOS PAC ID: 2567784408
Enrollment ID: O20201109002257
Entity NameRadiologists Associated In Duluth Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598722688
PECOS PAC ID: 4284547209
Enrollment ID: O20210920002222
Entity NameAngelina Diagnostic Radiology Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033175302
PECOS PAC ID: 1850380890
Enrollment ID: O20220705002654
Entity NameSanford Medical Center Fargo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184917924
PECOS PAC ID: 8426967803
Enrollment ID: O20230420002151

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 Jonathan Wyatt Bold 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
Dr Jonathan Wyatt Bold, MD
11995 Singletree Ln Ste 500,
Eden Prairie, MN 55344-5349

Ph: (952) 595-1301		Dr Jonathan Wyatt Bold, MD
11995 Singletree Ln Ste 500,
Eden Prairie, MN 55344-5349

Ph: (952) 595-1301

Reviews and Comments


Radiology Doctors in Eden Prairie, MN

Norna L. Karp, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903
Christopher Calixte, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903
Paul D Guisler, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903
Rati N Patel, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903
Jacob Gebrael, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903
Susanne S. Kim, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903
Gwendolyn Durgin, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.