Dale W Sponaugle, MD | |
200 Ohio St, Medina, NY 14103-1063 | |
(585) 798-8054 | |
(585) 798-8150 |
Full Name | Dale W Sponaugle |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 39 Years |
Location | 200 Ohio St, Medina, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023018462 | NPI | - | NPPES |
000525331009 | Other | NY | BCBS WNY |
201590500 | Other | FEDERAL WORKERS COMP | |
P010164356 | Other | NY | ROCHESTER BCBS |
020382600 | Other | FEDERAL BLACK LUNG | |
040403006845 | Other | NY | FIDELIS CARE NEW YORK |
117837FF | Other | NY | PREFERRED CARE |
00020548502 | Other | NY | UNIVERA HEALTHCARE |
01257134 | Medicaid | NY | |
5690902 | Other | NY | INDEPENDENT HEALTH |
164356 | Other | NY | WORKERS COMPENSATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 164356 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orleans Community Health | 7315857018 | 13 |
Entity Name | Brain & Spine Medical Services Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073631644 PECOS PAC ID: 9032103056 Enrollment ID: O20040413000573 |
Entity Name | Orleans Community Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609873520 PECOS PAC ID: 7315857018 Enrollment ID: O20040504000620 |
Entity Name | Windsong Radiology Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821048562 PECOS PAC ID: 0749264752 Enrollment ID: O20040616001437 |
Entity Name | Radiology Solutions Associates, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285955161 PECOS PAC ID: 6002001476 Enrollment ID: O20101110001341 |
Mailing Address | Practice Location Address |
---|---|
Dale W Sponaugle, MD 275 Northpointe Pkwy, Ste 50, Amherst, NY 14228-1895 Ph: (716) 692-2160 | Dale W Sponaugle, MD 200 Ohio St, Medina, NY 14103-1063 Ph: (585) 798-8054 |
Dr. Kenneth L Brooks, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 10965 W Center Street Ext, Medina, NY 14103 Phone: 585-798-1807 |