Dr Raymond B Wynn, MD | |
2500 West 12th Street, Upmc Regional Cancer Center, Erie, PA 16505 | |
(708) 635-9133 | |
Not Available |
Full Name | Dr Raymond B Wynn |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 34 Years |
Location | 2500 West 12th Street, Erie, Pennsylvania |
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 |
---|---|---|---|
1548216195 | NPI | - | NPPES |
051542649 | Other | AL | BCBS - ONE INFIRMARY CIRCLE |
276857700 | Medicaid | FL | |
009934193 | Medicaid | AL | |
1023982380001 | Medicaid | PA | |
3600240 | Other | AL | UNITED HEALTH CARE |
00118037 | Medicaid | MS | |
51531394 | Other | AL | BLUE CROSS |
51593896 | Other | AL | BCBS - 1660 SPRINGHILL |
2117379 | Other | PA | HIGHMARK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | MD438611 (Pennsylvania) | Secondary |
2085R0001X | Radiology - Radiation Oncology | 036142602 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ingalls Memorial Hospital | Harvey, IL | Hospital |
Baptist Health Paducah | Paducah, KY | Hospital |
Lourdes Hospital | Paducah, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Primary Healthcare Associates Sc | 4688635337 | 80 |
Baptist Health Medical Group Inc | 5597867184 | 1934 |
Entity Name | University Of Chicago |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
Entity Name | Northwestern Medical Faculty Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Entity Name | The University Of Chicago Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031106000203 |
Entity Name | Primary Healthcare Associates Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467442293 PECOS PAC ID: 4688635337 Enrollment ID: O20041026000077 |
Entity Name | Passavant Memorial Area Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760994040 PECOS PAC ID: 3173503281 Enrollment ID: O20180508002390 |
Mailing Address | Practice Location Address |
---|---|
Dr Raymond B Wynn, MD 125 Oak Ridge Dr E, Burr Ridge, IL 60527-6869 Ph: (087) 635-9133 | Dr Raymond B Wynn, MD 2500 West 12th Street, Upmc Regional Cancer Center, Erie, PA 16505 Ph: (708) 635-9133 |
Floyd Hyatt, Radiology Medicare: Medicare Enrolled Practice Location: 201 State St, Erie, PA 16550 Phone: 814-877-6182 | |
Bharath Kumar Chinta, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 232 W 25th St, Erie, PA 16544 Phone: 814-452-5000 | |
Thomas J Wilkins, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2620 Sigsbee St, Erie, PA 16508 Phone: 814-454-4599 Fax: 814-454-4503 | |
Rachel Anne Lagos, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 201 State St, Erie, PA 16550 Phone: 814-877-6182 Fax: 814-877-6149 | |
Aaron Rucks, Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 State St Fl 4, Erie, PA 16507 Phone: 814-877-6370 | |
Margaret Glenn, Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 State St Ste 108, 1st Floor Suite 108, Erie, PA 16507 Phone: 814-877-5560 | |
Kevin Andrew Fisher, MD Radiology Medicare: Medicare Enrolled Practice Location: 2500 W 12th St, Erie, PA 16505 Phone: 814-838-9000 Fax: 814-838-0462 |