Judith L Radke, MD in San Diego, CA

Judith L Radke, MD is a medicare enrolled "Radiology - Body Imaging" physician in San Diego, California. Her current practice location is 4647 Zion Ave, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 528-5000.

Judith L Radke is licensed to practice in California (license number G74068) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366590242.

Contact Information

	Judith L Radke, MD
	4647 Zion Ave, San Diego, CA 92120-2507
	(619) 528-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Judith L Radke
Gender	Female
Speciality	Radiology - Body Imaging
Location	4647 Zion Ave, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366590242
Provider Enumeration Date: 01/08/2007
Last Update Date: 09/23/2008

Medicare PECOS Information:

PECOS PAC ID: 8628134608
Enrollment ID: I20090226000271

Medical Identifiers

Medical identifiers for Judith L Radke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366590242	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085B0100X	Radiology - Body Imaging	G74068 (California)	Primary

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. Judith L Radke allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Judith L Radke 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
Judith L Radke, MD 4647 Zion Ave, San Diego, CA 92120-2507 Ph: (619) 528-5000	Judith L Radke, MD 4647 Zion Ave, San Diego, CA 92120-2507 Ph: (619) 528-5000

Reviews and Comments

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Judith L Radke, MD - Medicare Radiology in San Diego, CA