Nicholas Charles Fasano, MD | |
55 Lake Ave North, Worcester, MA 01655-0002 | |
(508) 334-3850 | |
Not Available |
Full Name | Nicholas Charles Fasano |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 23 Years |
Location | 55 Lake Ave North, Worcester, Massachusetts |
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 |
---|---|---|---|
1013932292 | NPI | - | NPPES |
1017198590001 | Medicaid | PA | |
887303800 | Medicaid | MD | |
072163821 | Medicaid | DC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | D0087818 (Maryland) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 1018905 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Umd Prince George's Hospital Ctr | Cheverly, MD | Hospital |
University Of Md Charles Regional Medical Center | La plata, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Maryland Diagnostic Radiology, Llc | 0345513248 | 48 |
University Of Maryland Diagnostic Imaging Specialists, P A | 7719873298 | 75 |
Entity Name | University Of Maryland Diagnostic Imaging Specialists, P A |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154335487 PECOS PAC ID: 7719873298 Enrollment ID: O20040223000685 |
Entity Name | University Imaging Center, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245245307 PECOS PAC ID: 2769378686 Enrollment ID: O20040226000325 |
Entity Name | University Of Maryland Diagnostic Radiology, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467996959 PECOS PAC ID: 0345513248 Enrollment ID: O20170828004107 |
Mailing Address | Practice Location Address |
---|---|
Nicholas Charles Fasano, MD Po Box 415348, Boston, MA 02241-5348 Ph: (800) 225-8885 | Nicholas Charles Fasano, MD 55 Lake Ave North, Worcester, MA 01655-0002 Ph: (508) 334-3850 |
Dominique Rowcroft, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3850 | |
Alan Goldstein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3850 Fax: 508-856-1860 | |
Jasmeet Singh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3850 Fax: 508-334-9108 | |
John Robinson, Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3850 | |
Fareed Riyaz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 978-939-2035 Fax: 978-939-2039 | |
Dr. Elias H Salloum, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-363-6177 |