Eric Wydra, DO | |
1505 W. Sherman Avenue, Dept Of Radiology, Vineland, NJ 08360-6912 | |
(856) 641-7937 | |
Not Available |
Full Name | Eric Wydra |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 14 Years |
Location | 1505 W. Sherman Avenue, Vineland, New Jersey |
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 |
---|---|---|---|
1245559194 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085N0700X | Radiology - Neuroradiology | 21074 (North Dakota) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 25MB09715500 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Inspira Medical Center Elmer | Elmer, NJ | Hospital |
Inspira Medical Center Vineland | Vineland, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Atlantic Medical Imaging | 0345215141 | 98 |
Regional Diagnostic Imaging Llc | 3779593470 | 26 |
Entity Name | Atlantic Medical Imaging |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396771556 PECOS PAC ID: 0345215141 Enrollment ID: O20040826000336 |
Entity Name | Regional Diagnostic Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972575892 PECOS PAC ID: 3779593470 Enrollment ID: O20060426000029 |
Entity Name | Ami Atlanticare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275762023 PECOS PAC ID: 7113073263 Enrollment ID: O20090915000606 |
Mailing Address | Practice Location Address |
---|---|
Eric Wydra, DO 1505 W. Sherman Avenue, Dept Of Radiology, Vineland, NJ 08360-6912 Ph: (732) 557-1781 | Eric Wydra, DO 1505 W. Sherman Avenue, Dept Of Radiology, Vineland, NJ 08360-6912 Ph: (856) 641-7937 |
Michael Spivak, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360 Phone: 610-459-3113 | |
Shailendra A Desai, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1450 E Chestnut Ave, Building 4, Suite A, Vineland, NJ 08361 Phone: 856-794-8664 Fax: 856-794-2671 | |
Andrew K Liu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360 Phone: 856-641-7940 Fax: 856-641-7657 | |
Ernesto B Go, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1450 E Chestnut Ave, Building 4, Suite A, Vineland, NJ 08361 Phone: 856-794-8664 Fax: 856-794-2671 | |
Daniel Burritt, Radiology Medicare: Accepting Medicare Assignments Practice Location: 994 W Sherman Ave Bldg 2, Vineland, NJ 08360 Phone: 631-534-7246 Fax: 856-457-5681 | |
Steven H Rothfarb, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1450 E Chestnut Ave, Building 4, Suite A, Vineland, NJ 08361 Phone: 856-794-8664 Fax: 856-794-2671 |