Jonathan J Sudberry, MD in St Louis Park, MN - Medicare Diagnostic Radiology

Jonathan J Sudberry, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in St Louis Park, Minnesota. He went to University Of South Florida College Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Tria Orthopaedic Center Llc, Park Nicollet Clinic and his current practice location is 6500 Excelsior Blvd, Methodist Hospital, 2nd Floor Radiology, St Louis Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 993-0349.

Jonathan J Sudberry is licensed to practice in Minnesota (license number 48060) 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 1700865193.

Contact Information

	Jonathan J Sudberry, MD
	6500 Excelsior Blvd, Methodist Hospital, 2nd Floor Radiology, St Louis Park, MN 55426-4702
	(952) 993-0349
	Not Available

Map and Direction

Physician's Profile

Full Name	Jonathan J Sudberry
Gender	Male
Speciality	Diagnostic Radiology
Experience	24 Years
Location	6500 Excelsior Blvd, St Louis Park, Minnesota
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:

Jonathan J Sudberry attended and graduated from University Of South Florida College Of Medicine in 2000

NPI Data:

NPI Number: 1700865193
Provider Enumeration Date: 01/13/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3971533316
Enrollment ID: I20050816000657

Medical Identifiers

Medical identifiers for Jonathan J Sudberry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700865193	NPI	-	NPPES
852658300	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	48060 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Park Nicollet Methodist Hospital	Saint louis park, MN	Hospital
Hutchinson Health	Hutchinson, MN	Hospital
Olivia Hospital & Clinic	Olivia, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tria Orthopaedic Center Llc	3173570561	362
Park Nicollet Clinic	7911819438	1530

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. Jonathan J Sudberry allows following entities to bill medicare on his behalf.

Entity Name	Park Nicollet Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

Entity Name	Tria Orthopaedic Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999

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. Jonathan J Sudberry 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
Jonathan J Sudberry, MD 6500 Excelsior Blvd, Methodist Hospital, 2nd Floor Radiology, St Louis Park, MN 55426-4702 Ph: (952) 993-0349	Jonathan J Sudberry, MD 6500 Excelsior Blvd, Methodist Hospital, 2nd Floor Radiology, St Louis Park, MN 55426-4702 Ph: (952) 993-0349

Reviews and Comments

Radiology Doctors in St Louis Park, MN

Dr. Chung M Lee, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3212
Kenneth B Heithoff, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 5775 Wayzata Boulevard, Suite 190, St Louis Park, MN 55416 Phone: 952-541-1840 Fax: 952-513-6880
Mark E Myers, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5775 Wayzata Blvd, Suite 190, St Louis Park, MN 55416 Phone: 952-525-6328 Fax: 952-513-6880
Dr. Michael T Akin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 959-299-3539
Deborah Steen, Radiology Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5391
Paige N Misselt, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 612-385-0911
Thomas J Gilbert Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5775 Wayzata Boulevard, Suite 190, St Louis Park, MN 55416 Phone: 952-541-1840 Fax: 952-513-6880

Jonathan J Sudberry, MD - Medicare Diagnostic Radiology in St Louis Park, MN