Diana L Wilson, MD | |
9582 W Colonial Dr, Ocoee, FL 34761-6992 | |
(407) 363-6700 | |
(407) 865-6012 |
Full Name | Diana L Wilson |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 30 Years |
Location | 9582 W Colonial Dr, Ocoee, Florida |
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 |
---|---|---|---|
1790059970 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | ME78506 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Simonmed Imaging Florida Llc | 6608036108 | 145 |
Entity Name | Simonmed Imaging Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477830818 PECOS PAC ID: 6608036108 Enrollment ID: O20120320000846 |
Mailing Address | Practice Location Address |
---|---|
Diana L Wilson, MD 7918 Versilia Dr., Orlando, FL 32836 Ph: (407) 354-3765 | Diana L Wilson, MD 9582 W Colonial Dr, Ocoee, FL 34761-6992 Ph: (407) 363-6700 |
Orville Josue Oquendo, X-RAY TECHNICIAN Radiology Medicare: Not Enrolled in Medicare Practice Location: 1151 Blackwood Ave Ste 170, Ocoee, FL 34761 Phone: 407-347-8339 Fax: 407-347-8394 | |
Amir Moubayed, D.O. Radiology Medicare: Medicare Enrolled Practice Location: 9582 W Colonial Dr, Ocoee, FL 34761 Phone: 407-363-7115 Fax: 407-685-6012 | |
Carmelo Calderone, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 9582 W Colonial Dr, Ocoee, FL 34761 Phone: 407-363-6700 Fax: 407-363-5979 | |
Dr. Takesh Sazmand, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 9582 W Colonial Dr, Ocoee, FL 34761 Phone: 407-363-6700 Fax: 407-865-6012 | |
Dr. Charles Francis Wennogle Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9582 W Colonial Dr, Ocoee, FL 34761 Phone: 719-593-1799 Fax: 719-265-3794 | |
Idelisa Torres-berastain, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 9582 W Colonial Dr, Ocoee, FL 34761 Phone: 407-896-3055 Fax: 826-110-3866 | |
Dr. Asra Khan, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 9582 W Colonial Dr, Ocoee, FL 34761 Phone: 904-874-6979 |