Jason R Pericak, MD - Medicare Diagnostic Radiology in Williamsville, NY

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Jason R Pericak, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Williamsville, New York. He went to State University Of New York At Buffalo School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Great Lakes Medical Imaging Llc, Western New York Radiology Associates Llc, Bradford Radiology Pc and his current practice location is 111 N Maplemere Rd Ste 120, Williamsville, New York. You can reach out to his office (for appointments etc.) via phone at (716) 836-4646.

Jason R Pericak is licensed to practice in New York (license number 256124) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689823411.

Contact Information

Jason R Pericak, MD
111 N Maplemere Rd Ste 120,
Williamsville, NY 14221-3178
(716) 836-4646
(716) 836-4696

Map and Direction




Physician's Profile

Full NameJason R Pericak
GenderMale
SpecialityDiagnostic Radiology
Experience20 Years
Location111 N Maplemere Rd Ste 120, Williamsville, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jason R Pericak attended and graduated from State University Of New York At Buffalo School Of Medicine in 2004
  NPI Data:
  • NPI Number: 1689823411
  • Provider Enumeration Date: 09/17/2008
  • Last Update Date: 08/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5496800583
  • Enrollment ID: I20100824001000

Medical Identifiers

Medical identifiers for Jason R Pericak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689823411NPI-NPPES
03193533MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 256124 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Olean General HospitalOlean, NYHospital
Kaleida HealthBuffalo, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Great Lakes Medical Imaging Llc216368185938
Western New York Radiology Associates Llc307240229629
Bradford Radiology Pc589019884016

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jason R Pericak allows following entities to bill medicare on his behalf.
Entity NameWestern New York Radiology Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285682500
PECOS PAC ID: 3072402296
Enrollment ID: O20040315000217
Entity NameOlean Radiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700829850
PECOS PAC ID: 9133118862
Enrollment ID: O20040508000177
Entity NameBuffalo Orthopaedic Group,llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144284464
PECOS PAC ID: 0840262028
Enrollment ID: O20040809000780
Entity NameGreat Lakes Medical Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861763005
PECOS PAC ID: 2163681859
Enrollment ID: O20120316000017

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jason R Pericak is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jason R Pericak, MD
111 N Maplemere Rd Ste 120,
Williamsville, NY 14221-3178

Ph: (716) 836-4646		Jason R Pericak, MD
111 N Maplemere Rd Ste 120,
Williamsville, NY 14221-3178

Ph: (716) 836-4646

Reviews and Comments


Radiology Doctors in Williamsville, NY

Dr. David Hayes, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 55 Spindrift Dr, Windsong Radiology Group, P.c., Williamsville, NY 14221
Phone: 716-631-2500    Fax: 716-631-1249
Dr. Stuart Rubin, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 55 Spindrift Dr, Williamsville, NY 14221
Phone: 716-631-2500    Fax: 716-631-1249
Marcy A Mcintosh, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 55 Spindrift Dr, Williamsville, NY 14221
Phone: 716-631-2500    
Phillip Adam Baum, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 111 N Maplemere Rd Ste 120, Williamsville, NY 14221
Phone: 716-836-4646    Fax: 716-836-4696
Dr. Anna Chen, DO
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 55 Spindrift Dr, Williamsville, NY 14221
Phone: 716-631-2500    Fax: 716-631-1249
Dr. James J Rinaldi, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 111 N Maplemere Rd Ste 120, Williamsville, NY 14221
Phone: 716-836-4646    Fax: 716-836-4696
Maria Komissarova,
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 55 Spindrift Dr, Williamsville, NY 14221
Phone: 716-631-2500    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.