Dr Michael W Itagaki, MD in Green Bay, WI - Medicare Diagnostic Radiology

Dr Michael W Itagaki, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Green Bay, Wisconsin. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Baycare Clinic Llp and his current practice location is 2845 Greenbrier Rd, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 288-4848.

Dr Michael W Itagaki is licensed to practice in Wisconsin (license number 81016) 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 1902058555.

Contact Information

	Dr Michael W Itagaki, MD
	2845 Greenbrier Rd, Green Bay, WI 54311-6519
	(920) 288-4848
	(920) 288-4956

Map and Direction

Physician's Profile

Full Name	Dr Michael W Itagaki
Gender	Male
Speciality	Diagnostic Radiology
Experience	19 Years
Location	2845 Greenbrier Rd, Green Bay, Wisconsin
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 Michael W Itagaki graduated from medical school in 2005

NPI Data:

NPI Number: 1902058555
Provider Enumeration Date: 10/15/2008
Last Update Date: 07/13/2023

Medicare PECOS Information:

PECOS PAC ID: 1254509680
Enrollment ID: I20221018002517

Medical Identifiers

Medical identifiers for Dr Michael W Itagaki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902058555	NPI	-	NPPES
685050	Medicaid	HI
100212024	Medicaid	WI
2023112	Medicaid	WA
305309	Other	WA	LNI PROVIDER ID
314444	Other	WA	LNI PROVIDER ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	MD60125332 (Washington)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	A99197 (California)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	81016-20 (Wisconsin)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	MD60125332 (Washington)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	81016 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Aurora Baycare Medical Ctr	Green bay, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Baycare Clinic Llp	4385554328	183

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 Michael W Itagaki allows following entities to bill medicare on his behalf.

Entity Name	Baycare Clinic Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588609648 PECOS PAC ID: 4385554328 Enrollment ID: O20031105000087

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

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 Michael W Itagaki 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 Michael W Itagaki, MD 1035 Kepler Dr, Green Bay, WI 54311-8320 Ph: (920) 301-1327	Dr Michael W Itagaki, MD 2845 Greenbrier Rd, Green Bay, WI 54311-6519 Ph: (920) 288-4848

Reviews and Comments

Radiology Doctors in Green Bay, WI

George X Zaleski, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1789 Shawano Ave, Green Bay, WI 54303 Phone: 920-499-1428
Dr. Nami P Zarvan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2941 S Ridge Rd, Green Bay, WI 54304 Phone: 920-336-4096 Fax: 920-336-8093
Sally Schlise, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-433-8184
Dr. Jeremy Boone Mccue, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2941 S Ridge Rd, Green Bay, WI 54304 Phone: 920-336-4096 Fax: 920-336-8093
William L Hingtgen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1789 Shawano, Green Bay, WI 54303 Phone: 920-499-1428 Fax: 920-499-5808
Dr. James I Sladky, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2941 S Ridge Rd, Green Bay, WI 54304 Phone: 920-336-4096 Fax: 920-336-8093
Patrick M Carrigan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1789 Shawano Ave, Green Bay, WI 54303 Phone: 920-499-1428 Fax: 920-499-5808

Dr Michael W Itagaki, MD - Medicare Diagnostic Radiology in Green Bay, WI