Gina Fundaro, MD - Medicare Diagnostic Radiology in Detroit, MI

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Gina Fundaro, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Detroit, Michigan. She went to Wayne State University School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Regional Medical Imaging Pc and her current practice location is 4100 John R St, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 745-8042.

Gina Fundaro is licensed to practice in Michigan (license number 4301074481) 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 1275520512.

Contact Information

Gina Fundaro, MD
4100 John R St,
Detroit, MI 48201-2013
(313) 745-8042
(313) 745-2314

Map and Direction




Physician's Profile

Full NameGina Fundaro
GenderFemale
SpecialityDiagnostic Radiology
Experience25 Years
Location4100 John R St, Detroit, Michigan
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:
  • Gina Fundaro attended and graduated from Wayne State University School Of Medicine in 1999
  NPI Data:
  • NPI Number: 1275520512
  • Provider Enumeration Date: 10/03/2005
  • Last Update Date: 10/07/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5496721573
  • Enrollment ID: I20040909000630

Medical Identifiers

Medical identifiers for Gina Fundaro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275520512NPI-NPPES
7005261920OtherMIBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 4301074481 (Michigan)Secondary
2085R0202XRadiology - Diagnostic Radiology 4301074481 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Regional Medical Imaging Pc468863769719

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. Gina Fundaro allows following entities to bill medicare on her behalf.
Entity NameRegional Medical Imaging Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427057967
PECOS PAC ID: 4688637697
Enrollment ID: O20041110000950
Entity NameRadadvantage A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376719666
PECOS PAC ID: 2163597899
Enrollment ID: O20150715000075

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. Gina Fundaro 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
Gina Fundaro, MD
24601 Northwestern Hwy,
Southfield, MI 48075-2473

Ph: (248) 827-4580		Gina Fundaro, MD
4100 John R St,
Detroit, MI 48201-2013

Ph: (313) 745-8042

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).

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.