Carol Ann Jackson-gibson, MD | |
1150 Youngs Rd, Suite 111, Williamsville, NY 14221-8053 | |
(716) 688-7622 | |
(716) 688-7592 |
Full Name | Carol Ann Jackson-gibson |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 39 Years |
Location | 1150 Youngs Rd, Williamsville, New York |
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 |
---|---|---|---|
1164421442 | NPI | - | NPPES |
5609475 | Other | NY | INDEPENDENT HEALTH # |
01598136 | Medicaid | NY | |
000525515015 | Other | NY | BLUE CROSS WNY # |
150589FF | Other | NY | PREFERRED CARE-ROCHESTER |
300118785 | Other | NY | RAILROAD MEDICARE # |
CR-DRA176786-2W | Other | NY | WORKERS COMPENSATION # |
00025193901 | Other | NY | UNIVERA/EXCELLUS # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085N0904X | Radiology - Nuclear Radiology | 176786 (New York) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 176786 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Western New York Mri Llp | 4082684378 | 8 |
Entity Name | Western New York Mri Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043255854 PECOS PAC ID: 4082684378 Enrollment ID: O20040726001024 |
Mailing Address | Practice Location Address |
---|---|
Carol Ann Jackson-gibson, MD 1150 Youngs Rd, Suite 111, Williamsville, NY 14221-8053 Ph: (716) 688-7622 | Carol Ann Jackson-gibson, MD 1150 Youngs Rd, Suite 111, Williamsville, NY 14221-8053 Ph: (716) 688-7622 |
Dr. David Hayes, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 55 Spindrift Dr, Windsong Radiology Group, P.c., Williamsville, NY 14221 Phone: 716-631-2500 Fax: 716-631-1249 | |
Dr. Stuart Rubin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Spindrift Dr, Williamsville, NY 14221 Phone: 716-631-2500 Fax: 716-631-1249 | |
Marcy A Mcintosh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Spindrift Dr, Williamsville, NY 14221 Phone: 716-631-2500 | |
Phillip Adam Baum, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 N Maplemere Rd Ste 120, Williamsville, NY 14221 Phone: 716-836-4646 Fax: 716-836-4696 | |
Dr. Anna Chen, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Spindrift Dr, Williamsville, NY 14221 Phone: 716-631-2500 Fax: 716-631-1249 | |
Dr. James J Rinaldi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 N Maplemere Rd Ste 120, Williamsville, NY 14221 Phone: 716-836-4646 Fax: 716-836-4696 | |
Maria Komissarova, Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Spindrift Dr, Williamsville, NY 14221 Phone: 716-631-2500 |