Gavin J Udstuen, MD in Cincinnati, OH - Medicare Diagnostic Radiology

Gavin J Udstuen, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Cincinnati, Ohio. He went to University Of Cincinnati College Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice University Of Cincinnati Physicians Company Llc and his current practice location is 234 Goodman St, Dept. Of Radiology, Cincinnati, Ohio. You can reach out to his office (for appointments etc.) via phone at (513) 584-7544.

Gavin J Udstuen is licensed to practice in Ohio (license number 35-07-1170) 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 1962434373.

Contact Information

	Gavin J Udstuen, MD
	234 Goodman St, Dept. Of Radiology, Cincinnati, OH 45267-1000
	(513) 584-7544
	(513) 584-9100

Map and Direction

Physician's Profile

Full Name	Gavin J Udstuen
Gender	Male
Speciality	Diagnostic Radiology
Experience	29 Years
Location	234 Goodman St, Cincinnati, Ohio
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:

Gavin J Udstuen attended and graduated from University Of Cincinnati College Of Medicine in 1995

NPI Data:

NPI Number: 1962434373
Provider Enumeration Date: 07/07/2006
Last Update Date: 02/21/2018

Medicare PECOS Information:

PECOS PAC ID: 5890691067
Enrollment ID: I20031209000516

Medical Identifiers

Medical identifiers for Gavin J Udstuen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962434373	NPI	-	NPPES
000000228669	Other	OH	ANTHEM
300134540	Other	OH	RAILROAD MEDICARE
1805944000	Medicaid	WV
1603249	Other	OH	UNITED HEALTHCARE
2214857	Medicaid	OH
200411300A	Medicaid	IN
2903618	Other	OH	AETNA
64028558	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	35-07-1170 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Cincinnati Medical Center, Llc	Cincinnati, OH	Hospital
West Chester Hospital	West chester, OH	Hospital
St Elizabeth Edgewood	Edgewood, KY	Hospital
Mercy Health - Fairfield Hospital	Fairfield, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Cincinnati Physicians Company Llc	2264344480	1336

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. Gavin J Udstuen allows following entities to bill medicare on his behalf.

Entity Name	University Of Cincinnati Physicians Company Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801840434 PECOS PAC ID: 2264344480 Enrollment ID: O20031105000123

Entity Name	Children's Hospital Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609915784 PECOS PAC ID: 8426955733 Enrollment ID: O20031216000035

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. Gavin J Udstuen 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
Gavin J Udstuen, MD Po Box 636256 Central Credentialing, Cincinnati, OH 45263-6256 Ph: (513) 245-3107	Gavin J Udstuen, MD 234 Goodman St, Dept. Of Radiology, Cincinnati, OH 45267-1000 Ph: (513) 584-7544

Reviews and Comments

Radiology Doctors in Cincinnati, OH

Preeyacha Pacharn, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3333 Burnet Ave, Ml 5031, Cincinnati, OH 45229 Phone: 513-636-4251
Ifeoma Aguanunu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Cincinnati, OH 45219 Phone: 135-844-3915
Dr. Marc R Mosbacher, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 601 Ivy Gtwy Ste 1100, Cincinnati, OH 45245 Phone: 513-751-2273
Dr. Michael K. Shehata, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5520 Cheviot Rd, Cincinnati, OH 45247 Phone: 513-451-4033 Fax: 513-451-1356
Dr. Rodney P Geier, MD Radiology Medicare: Medicare Enrolled Practice Location: 11140 Montgomery Rd, Cincinnati, OH 45249 Phone: 513-564-8520 Fax: 513-564-8539
James M Meranus, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 375 Dixmyth Ave, Cincinnati, OH 45220 Phone: 513-965-8041 Fax: 513-965-8091
Doan Vu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Central Credentialing Ml 806, Cincinnati, OH 45219 Phone: 513-585-5508 Fax: 513-585-5511

Gavin J Udstuen, MD - Medicare Diagnostic Radiology in Cincinnati, OH