John Gambino, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Ontario, Oregon. He graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Valley Family Health Care Inc, Teton Radiology Diagnostic A Series Of Teton Group Enterprise, Boise Advanced Imaging Pllc, Teton Radiology Caldwell and his current practice location is
2275 Laurel Dr, Ontario, Oregon. You can reach out to his office (for appointments etc.) via phone at
(952) 595-1100.
John Gambino is licensed to practice in Oregon (license number MD19739) 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 1093773533.
Physician's Profile
Full Name | John Gambino |
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Gender | Male |
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Speciality | Diagnostic Radiology |
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Experience | 42 Years |
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Location | 2275 Laurel Dr, Ontario, Oregon |
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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:
- John Gambino graduated from medical school in 1982
NPI Data:
- NPI Number: 1093773533
- Provider Enumeration Date: 05/03/2006
- Last Update Date: 10/04/2013
Medicare PECOS Information:
- PECOS PAC ID: 2062484314
- Enrollment ID: I20040809000388
Medical Identifiers
Medical identifiers for John Gambino such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093773533 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | MD19739 (Oregon) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 042-0012331 (Vermont) | Secondary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Valley Family Health Care Inc | 0547169591 | 41 |
Teton Radiology Diagnostic A Series Of Teton Group Enterprise | 1254436959 | 35 |
Boise Advanced Imaging Pllc | 1850346180 | 2 |
Teton Radiology Caldwell | 2365892742 | 9 |
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. John Gambino allows following entities to bill medicare on his behalf.
Entity Name | Valley Family Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295415032 PECOS PAC ID: 0547169591 Enrollment ID: O20040305000532 |
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Entity Name | Radadvantage A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20101115001107 |
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Entity Name | Imaging Center Of Idaho, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801090204 PECOS PAC ID: 2668560681 Enrollment ID: O20151125000402 |
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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. John Gambino 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 |
John Gambino, MD 11995 Singletree Ln, Suite 500, Eden Prairie, MN 55344-5347 Ph: (952) 595-1301 | John Gambino, MD 2275 Laurel Dr, Ontario, OR 97914-4107 Ph: (952) 595-1100 |
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