Geoffrey M Gullo, MD | |
335 Se 8th Ave, Hillsboro, OR 97123-4246 | |
(513) 681-1109 | |
(503) 681-1835 |
Full Name | Geoffrey M Gullo |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 30 Years |
Location | 335 Se 8th Ave, Hillsboro, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063589026 | NPI | - | NPPES |
227540 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD24515 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Epic Imaging Pc | 6608766423 | 10 |
Entity Name | Epic Imaging Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700983319 PECOS PAC ID: 6608766423 Enrollment ID: O20040317000014 |
Mailing Address | Practice Location Address |
---|---|
Geoffrey M Gullo, MD Po Box 28130, Portland, OR 97228-8130 Ph: (503) 681-1109 | Geoffrey M Gullo, MD 335 Se 8th Ave, Hillsboro, OR 97123-4246 Ph: (513) 681-1109 |
Dr. Natalie Ku, MD Radiology Medicare: Medicare Enrolled Practice Location: 335 Se 8th Ave, Hillsboro, OR 97123 Phone: 503-681-1000 Fax: 503-681-1796 | |
Dr. Timur Mitin, M.D., PH.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 299 Se 9th Ave, Hillsboro, OR 97123 Phone: 503-681-4200 Fax: 503-681-4210 | |
Austin D. Jou, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2875 Nw Stucki Ave, Hillsboro, OR 97124 Phone: 503-571-2880 | |
Dr. Prasanth M Prasanna, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 335 Se 8th Ave, Hillsboro, OR 97123 Phone: 503-681-1100 Fax: 503-681-1835 |