Mitchell Thor Gudmundsson, MD in San Diego, CA - Medicare Diagnostic Radiology

Mitchell Thor Gudmundsson, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in San Diego, California. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Pacific Radiology Group Inc and his current practice location is 200 W. Arbor Drive, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 944-2347.

Mitchell Thor Gudmundsson is licensed to practice in California (license number 115317) 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 1558503359.

Contact Information

	Mitchell Thor Gudmundsson, MD
	200 W. Arbor Drive, San Diego, CA 92103-8756
	(619) 944-2347
	Not Available

Map and Direction

Physician's Profile

Full Name	Mitchell Thor Gudmundsson
Gender	Male
Speciality	Diagnostic Radiology
Experience	15 Years
Location	200 W. Arbor Drive, San Diego, California
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:

Mitchell Thor Gudmundsson graduated from medical school in 2009

NPI Data:

NPI Number: 1558503359
Provider Enumeration Date: 03/25/2009
Last Update Date: 03/31/2015

Medicare PECOS Information:

PECOS PAC ID: 8022320233
Enrollment ID: I20150630003183

Medical Identifiers

Medical identifiers for Mitchell Thor Gudmundsson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558503359	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0204X	Radiology - Vascular & Interventional Radiology	115317 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Pali Momi Medical Center	Aiea, HI	Hospital
Adventist Health Castle	Kailua, HI	Hospital
Kuakini Medical Center	Honolulu, HI	Hospital
The Queens Medical Center	Honolulu, HI	Hospital
Straub Clinic And Hospital	Honolulu, HI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pacific Radiology Group Inc	7113817149	17

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. Mitchell Thor Gudmundsson allows following entities to bill medicare on his behalf.

Entity Name	Pacific Radiology Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871577536 PECOS PAC ID: 7113817149 Enrollment ID: O20040316000156

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. Mitchell Thor Gudmundsson 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
Mitchell Thor Gudmundsson, MD 1716 5th St, Manhattan Beach, CA 90266-6313 Ph: (619) 944-2347	Mitchell Thor Gudmundsson, MD 200 W. Arbor Drive, San Diego, CA 92103-8756 Ph: (619) 944-2347

Reviews and Comments

Radiology Doctors in San Diego, CA

Kripa Anil Guram, MD Radiology Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781
Dr. Lejla Aganovic, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781
Dr. Zachary G. Rattner, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 995 Gateway Center Way, Suite 207, San Diego, CA 92102 Phone: 619-263-9729 Fax: 619-263-9730
Dr. Soheil Niku, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 12580 Carmel Creek Rd, #52, San Diego, CA 92130 Phone: 619-322-0341 Fax: 858-509-0341
Dr. Frank B. Hamlett, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 319 Laurel St, San Diego, CA 92101 Phone: 619-234-3918 Fax: 619-234-5342
Dr. Aaron Mathew Smith, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 7910 Frost St, San Diego, CA 92123 Phone: 858-939-3600
Dr. Paul S Schulman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4352 Trias St, San Diego, CA 92103 Phone: 619-997-8881 Fax: 619-795-9980

Mitchell Thor Gudmundsson, MD - Medicare Diagnostic Radiology in San Diego, CA