Dr Ian Ralph Whiteside, MD | |
200 Belle Terre Rd, Port Jefferson, NY 11777-1968 | |
(631) 474-6000 | |
Not Available |
Full Name | Dr Ian Ralph Whiteside |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 10 Years |
Location | 200 Belle Terre Rd, Port Jefferson, 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 |
---|---|---|---|
1437560430 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085U0001X | Radiology - Diagnostic Ultrasound | 303407 (New York) | Secondary |
2085B0100X | Radiology - Body Imaging | 303407 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Good Samaritan Hospital Medical Center | West islip, NY | Hospital |
St Catherine Of Siena Hospital | Smithtown, NY | Hospital |
St Charles Hospital | Port jefferson, NY | Hospital |
Chsli St Joseph Hospital | Bethpage, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Francis Cardiac Prevention Services Pc | 4183515836 | 51 |
Empire State Radiology P C | 4385075241 | 186 |
Entity Name | Chs Physician Partners Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164585725 PECOS PAC ID: 7618955667 Enrollment ID: O20040708000027 |
Entity Name | St Francis Cardiac Prevention Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376952804 PECOS PAC ID: 4183515836 Enrollment ID: O20150414000094 |
Entity Name | Empire State Radiology P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255962783 PECOS PAC ID: 4385075241 Enrollment ID: O20200508000320 |
Mailing Address | Practice Location Address |
---|---|
Dr Ian Ralph Whiteside, MD 2330 Utah Ave Ste 200, El Segundo, CA 90245-4817 Ph: (424) 290-8004 | Dr Ian Ralph Whiteside, MD 200 Belle Terre Rd, Port Jefferson, NY 11777-1968 Ph: (631) 474-6000 |
Joseph M Carrucciu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 Fax: 631-473-1320 | |
Dr. Jonathan Edward Lerner, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 952-595-1100 Fax: 612-294-4903 | |
Michelle P Price, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 Fax: 631-686-7693 | |
Dr. Saurabh Patel, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-686-2517 | |
Arthi Reddy, Radiology Medicare: Medicare Enrolled Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-686-2517 | |
Kenny Lien, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Road, Port Jefferson, NY 11777 Phone: 631-476-2767 Fax: 631-473-0132 |