Susan Passalaqua, MD | |
2946 E Banner Gateway Dr., Gilbert, AZ 85234 | |
(480) 256-6444 | |
(480) 256-4683 |
Full Name | Susan Passalaqua |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 28 Years |
Location | 2946 E Banner Gateway Dr., Gilbert, Arizona |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891784880 | NPI | - | NPPES |
843880 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 32391 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Avera Mckennan Hospital & University Health Center | Sioux falls, SD | Hospital |
Avera Heart Hospital Of South Dakota | Sioux falls, SD | Hospital |
Brookings Health System | Brookings, SD | Hospital |
Avera Marshall Regional Medical Ctr | Marshall, MN | Hospital |
Regional Health Services Of Howard County | Cresco, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Avera Mckennan | 0345157103 | 833 |
Madison Community Hospital | 3779579743 | 38 |
Avera Marshall | 5799695227 | 78 |
Urology Specialists Chartered | 9234031329 | 41 |
Avera Queen Of Peace | 9335050806 | 89 |
Entity Name | Avera Mckennan |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003389206 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
Entity Name | Avera Queen Of Peace |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205359031 PECOS PAC ID: 9335050806 Enrollment ID: O20031229000301 |
Entity Name | Urology Specialists Chartered |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881647246 PECOS PAC ID: 9234031329 Enrollment ID: O20040121000003 |
Entity Name | Madison Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588644058 PECOS PAC ID: 3779579743 Enrollment ID: O20040423000982 |
Entity Name | Madison Community Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1588644058 PECOS PAC ID: 3779579743 Enrollment ID: O20101012001097 |
Entity Name | Avera Marshall |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962641936 PECOS PAC ID: 5799695227 Enrollment ID: O20191211001152 |
Mailing Address | Practice Location Address |
---|---|
Susan Passalaqua, MD 2940 E Banner Gateway Dr. Ste 450, Gilbert, AZ 85234 Ph: (480) 425-5063 | Susan Passalaqua, MD 2946 E Banner Gateway Dr., Gilbert, AZ 85234 Ph: (480) 256-6444 |
Dr. Georg Hernandez, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4001 E Baseline Rd Ste 105, Gilbert, AZ 85234 Phone: 480-632-5378 Fax: 480-632-1821 | |
Yerko O Borghero, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2940 E Banner Gateway Dr, Suite 450, Gilbert, AZ 85234 Phone: 480-256-3676 Fax: 480-256-3608 | |
Dr. Joel R Meyer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Banner Md Anderson Cancer Center, 2940 E. Banner Gateway Drive Suite 350, Gilbert, AZ 85234 Phone: 480-256-6444 Fax: 480-256-3682 | |
Sarah E Nicholas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Banner Md Anderson Cancer Center, 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 Phone: 480-256-6444 Fax: 480-256-3682 | |
Dr. Matthew D Callister, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 2940 E Banner Gateway Dr, Suite 450, Gilbert, AZ 85234 Phone: 480-256-6444 | |
Dr. Philippe Lanauze, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2946 E Banner Gateway Dr., Gilbert, AZ 85234 Phone: 480-256-6444 Fax: 480-256-4683 | |
Gary Walker, M.D., M.P.H., M.S. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2946 E Banner Gateway Dr, Gilbert, AZ 85234 Phone: 480-256-4500 |