Gale A Sisney, MD - Medicare Diagnostic Radiology in Cincinnati, OH

Gale A Sisney, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Cincinnati, Ohio. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1988 and has 36 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Proscan Womens Imaging At Redbank, Proscan Radiology, Llc, Chinatown True Care Medical Pllc, Optum Medical Care Pc, Proscan Nch Imaging Llc, Central Illinois Radiological Associates Ltd and her current practice location is 5400 Kennedy Ave, Cincinnati, Ohio. You can reach out to her office (for appointments etc.) via phone at (513) 281-3400.

Gale A Sisney is licensed to practice in Ohio (license number 25.000309) 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 1659330124.

Contact Information

Gale A Sisney, MD
5400 Kennedy Ave,
Cincinnati, OH 45213-2664
(513) 281-3400
Not Available

Map and Direction




Physician's Profile

Full NameGale A Sisney
GenderFemale
SpecialityDiagnostic Radiology
Experience36 Years
Location5400 Kennedy Ave, Cincinnati, Ohio
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:
  • Gale A Sisney attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1988
  NPI Data:
  • NPI Number: 1659330124
  • Provider Enumeration Date: 03/22/2006
  • Last Update Date: 09/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9931173853
  • Enrollment ID: I20160215002121

Medical Identifiers

Medical identifiers for Gale A Sisney such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659330124NPI-NPPES
04945520MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085B0100XRadiology - Body Imaging 47282 (Wisconsin)Secondary
2085R0202XRadiology - Diagnostic Radiology MD18116 (Rhode Island)Secondary
2085R0202XRadiology - Diagnostic Radiology 285857 (New York)Secondary
2085R0202XRadiology - Diagnostic Radiology 25.000309 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl CtrOttawa, ILHospital
Perry Memorial HospitalPrinceton, ILHospital
Osf Saint Paul Medical CenterMendota, ILHospital
Saint James HospitalPontiac, ILHospital
Osf Saint Lukes Medical CenterKewanee, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Proscan Womens Imaging At Redbank35775846068
Proscan Radiology, Llc579968080746
Chinatown True Care Medical Pllc2163859760198
Optum Medical Care Pc9931013240961
Proscan Nch Imaging Llc610323305175
Central Illinois Radiological Associates Ltd9436061827156

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. Gale A Sisney allows following entities to bill medicare on her behalf.
Entity NameProscan Radiology, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588654610
PECOS PAC ID: 5799680807
Enrollment ID: O20031203000127
Entity NameProscan Womens Imaging At Redbank
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013907120
PECOS PAC ID: 3577584606
Enrollment ID: O20051216000012
Entity NamePersonal Health Imaging Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083659379
PECOS PAC ID: 1658262407
Enrollment ID: O20190617001273

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. Gale A Sisney 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
Gale A Sisney, MD
5400 Kennedy Ave,
Cincinnati, OH 45213-2664

Ph: (513) 281-3400
Gale A Sisney, MD
5400 Kennedy Ave,
Cincinnati, OH 45213-2664

Ph: (513) 281-3400

Reviews and Comments


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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).

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