Michael John Connolly, MD - Medicare Diagnostic Radiology in Mequon, WI

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Michael John Connolly, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Mequon, Wisconsin. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Integrated Imaging Consultants Llc, Insight Chicago Inc, Hawaii Permanente Medical Group Inc, Radiology Consultants Of Little Rock, Pa, Radiology Imaging Specialists Llc and his current practice location is 10945 N Port Washington Rd Ste 201, Mequon, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 292-3151.

Michael John Connolly is licensed to practice in Wisconsin (license number 74869) 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 1861889909.

Contact Information

Michael John Connolly, MD
10945 N Port Washington Rd Ste 201,
Mequon, WI 53092-5078
(262) 292-3151
Not Available

Map and Direction




Physician's Profile

Full NameMichael John Connolly
GenderMale
SpecialityDiagnostic Radiology
Experience9 Years
Location10945 N Port Washington Rd Ste 201, Mequon, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael John Connolly graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1861889909
  • Provider Enumeration Date: 04/15/2015
  • Last Update Date: 05/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2062792542
  • Enrollment ID: I20210608001059

Medical Identifiers

Medical identifiers for Michael John Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861889909NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 72289 (Arizona)Secondary
2085R0202XRadiology - Diagnostic Radiology MD-23870 (Hawaii)Secondary
2085R0202XRadiology - Diagnostic Radiology E-17247 (Arkansas)Secondary
2085R0202XRadiology - Diagnostic Radiology 74869 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Hospital And Medical CenterChicago, ILHospital
Baptist Health Medical Center North Little RockNorth little rock, ARHospital
Advocate Christ Hospital & Medical CenterOak lawn, ILHospital
Baptist Health Medical Center-little RockLittle rock, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Integrated Imaging Consultants Llc2567784408169
Insight Chicago Inc2860894706126
Hawaii Permanente Medical Group Inc7618880667578
Radiology Consultants Of Little Rock, Pa610371630372
Radiology Imaging Specialists Llc024452903016

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. Michael John Connolly allows following entities to bill medicare on his behalf.
Entity NameWisconsin Radiology Specialists Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568446003
PECOS PAC ID: 2961314091
Enrollment ID: O20031105000585
Entity NameIntegrated Imaging Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700285335
PECOS PAC ID: 2567784408
Enrollment ID: O20170202001357
Entity NameLos Robles Radiologic Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730157215
PECOS PAC ID: 0446319206
Enrollment ID: O20180111000788
Entity NamePremier Radiology Wisconsin Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952951154
PECOS PAC ID: 9537595533
Enrollment ID: O20200211002818
Entity NameModesto Radiological Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992747547
PECOS PAC ID: 2062300239
Enrollment ID: O20221205003121
Entity NameRockford Radiology Assoc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740247535
PECOS PAC ID: 1254330749
Enrollment ID: O20221214001133
Entity NameX-ray Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740232776
PECOS PAC ID: 5294796801
Enrollment ID: O20221221001519
Entity NameRenaissance Radiology Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275181455
PECOS PAC ID: 0345571881
Enrollment ID: O20230127002039
Entity NamePrecision Radiology - Illinois Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265156640
PECOS PAC ID: 6305218298
Enrollment ID: O20230201002800
Entity NameFocus Medical Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528299989
PECOS PAC ID: 6406999259
Enrollment ID: O20230203002369
Entity NameBanner - University Hospital Based Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891405759
PECOS PAC ID: 1052614294
Enrollment ID: O20230512000975
Entity NameRadiology Consultants Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285735571
PECOS PAC ID: 9032195128
Enrollment ID: O20240306002253
Entity NameI V Radiology Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235296880
PECOS PAC ID: 7517952310
Enrollment ID: O20240419001668
Entity NameFullerton Radiology Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861451858
PECOS PAC ID: 4587632575
Enrollment ID: O20240430002414

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. Michael John Connolly 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
Michael John Connolly, MD
10945 N Port Washington Rd Ste 201,
Mequon, WI 53092-5078

Ph: (262) 292-3151		Michael John Connolly, MD
10945 N Port Washington Rd Ste 201,
Mequon, WI 53092-5078

Ph: (262) 292-3151

Reviews and Comments


Radiology Doctors in Mequon, WI

Timothy L Workman, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092
Phone: 262-292-3151    
John Tomashek, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092
Phone: 262-292-3151    
Eric M Dorn, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092
Phone: 414-434-0461    
Dr. Marc A Burrell, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092
Phone: 262-292-3151    
Cynthia Rice, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092
Phone: 414-434-0461    
Djerrick Cu Tan, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092
Phone: 262-292-3151    
Erica Young Berg, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092
Phone: 414-434-0461    

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.

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