Dr Ian Jermaine Wilson, MD | |
55 Spindrift Dr, Williamsville, NY 14221-7891 | |
(716) 631-2500 | |
Not Available |
Full Name | Dr Ian Jermaine Wilson |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 26 Years |
Location | 55 Spindrift Dr, Williamsville, 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 |
---|---|---|---|
1871793570 | NPI | - | NPPES |
02933948 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0204X | Radiology - Vascular & Interventional Radiology | 244637 (New York) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 244637 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Olean General Hospital | Olean, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Olean General Hospital | 9133111784 | 57 |
Olean General Hospital | 9133111784 | 57 |
Entity Name | Olean General Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649296781 PECOS PAC ID: 9133111784 Enrollment ID: O20040401001531 |
Entity Name | St Lawrence Radiology Assoc Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154380863 PECOS PAC ID: 2264421122 Enrollment ID: O20040507000290 |
Entity Name | Olean Radiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700829850 PECOS PAC ID: 9133118862 Enrollment ID: O20040508000177 |
Entity Name | University Radiology Associates, Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215978184 PECOS PAC ID: 4981686110 Enrollment ID: O20040602001011 |
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 | Queens Medical Of New York Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730439704 PECOS PAC ID: 3870748692 Enrollment ID: O20130228000375 |
Entity Name | Usa Medical Of Bensonhurst Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780028597 PECOS PAC ID: 3173746799 Enrollment ID: O20140528001303 |
Entity Name | New York Professional Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639518848 PECOS PAC ID: 9537483565 Enrollment ID: O20150123000194 |
Entity Name | Marble Hill Medical Of New York Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962868687 PECOS PAC ID: 2769773860 Enrollment ID: O20160621001100 |
Entity Name | Starrett City Medical Of New York Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043752785 PECOS PAC ID: 7113288564 Enrollment ID: O20180227000669 |
Entity Name | Pelham Pkwy Medical Of New York Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285156067 PECOS PAC ID: 4082976386 Enrollment ID: O20180327000712 |
Entity Name | Pelham Pkwy Professional Medical Services Of New York Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063926962 PECOS PAC ID: 9335404557 Enrollment ID: O20180517001134 |
Entity Name | Queens Professional Medical Services Of New York Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184138091 PECOS PAC ID: 2062777527 Enrollment ID: O20180604001787 |
Entity Name | Norwood Medical Of New York Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336628130 PECOS PAC ID: 4284987454 Enrollment ID: O20181106000429 |
Entity Name | Bushwick Medical Of New York Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720565922 PECOS PAC ID: 5092068262 Enrollment ID: O20181106000485 |
Entity Name | Norwood Professional Medical Services Of New York Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528547312 PECOS PAC ID: 4183977366 Enrollment ID: O20181106000914 |
Entity Name | Bushwick Professional Medical Services Of New York Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003393299 PECOS PAC ID: 0648516617 Enrollment ID: O20190111001240 |
Entity Name | Fordham Medical Of New York Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205332905 PECOS PAC ID: 4284972621 Enrollment ID: O20190211002377 |
Entity Name | Syracuse Medical Of New York Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457983181 PECOS PAC ID: 1355770553 Enrollment ID: O20200409002928 |
Entity Name | Syracuse Professional Medical Services Of New York Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487287975 PECOS PAC ID: 3476978578 Enrollment ID: O20200806002203 |
Mailing Address | Practice Location Address |
---|---|
Dr Ian Jermaine Wilson, MD 700 E Morehead St Ste 300, Charlotte, NC 28202-2742 Ph: () - | Dr Ian Jermaine Wilson, MD 55 Spindrift Dr, Williamsville, NY 14221-7891 Ph: (716) 631-2500 |
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 |