Dr William Edmund Prominski, MD | |
1610 Fielding Lewis Way, Mc Lean, VA 22101-3246 | |
(952) 595-1100 | |
(612) 294-4903 |
Full Name | Dr William Edmund Prominski |
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Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 41 Years |
Location | 1610 Fielding Lewis Way, Mc Lean, Virginia |
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 |
---|---|---|---|
1699749788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 0101041171 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Washington Open Mri Inc | 8426037169 | 2 |
Washington Open Mri Inc | 8426037169 | 2 |
Entity Name | Inova Health Care Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20040102000644 |
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
Entity Name | Washington Open Mri Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336184241 PECOS PAC ID: 8426037169 Enrollment ID: O20050223000829 |
Mailing Address | Practice Location Address |
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Dr William Edmund Prominski, MD 11995 Singletree Ln, Suite 500, Eden Prairie, MN 55344-5347 Ph: (952) 595-1301 | Dr William Edmund Prominski, MD 1610 Fielding Lewis Way, Mc Lean, VA 22101-3246 Ph: (952) 595-1100 |
Alexis Leigh Crawley, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8008 Westpark Dr, Mc Lean, VA 22102 Phone: 703-287-6400 | |
Dr. Nordine Gaugau, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 6723 Whittier Ave, Ste 306, Mc Lean, VA 22101 Phone: 703-891-3147 | |
Chris S Chung, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8008 Westpark Dr, Mc Lean, VA 22102 Phone: 703-287-6400 | |
Dr. Margaret Kang, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1021 Broad Branch Ct, Mc Lean, VA 22101 Phone: 952-595-1100 Fax: 612-294-4903 | |
Matthew Joseph Webber, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8008 Westpark Dr, Mc Lean, VA 22102 Phone: 703-287-6400 | |
Dr. Omar Javery, Radiology Medicare: Accepting Medicare Assignments Practice Location: 8008 Westpark Dr, Mc Lean, VA 22102 Phone: 703-287-6400 | |
Dr. Anjum Bandarkar, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8008 Westpark Dr, Mc Lean, VA 22102 Phone: 703-287-1910 |