Jason M Wallen, MD | |
750 East Adams St, Syracuse, NY 13210 | |
(315) 464-1800 | |
(315) 464-6238 |
Full Name | Jason M Wallen |
---|---|
Gender | Male |
Speciality | Thoracic Surgery |
Experience | 23 Years |
Location | 750 East Adams St, Syracuse, New York |
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 |
---|---|---|---|
1730285370 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | A81230 (California) | Secondary |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 282319 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Hospital S U N Y Health Science Center | Syracuse, NY | Hospital |
Crouse Hospital | Syracuse, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Surgical Associates Llp | 7315834165 | 48 |
Entity Name | University Surgical Associates Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376590117 PECOS PAC ID: 7315834165 Enrollment ID: O20040304000499 |
Mailing Address | Practice Location Address |
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Jason M Wallen, MD 251 Salina Meadows Pkwy Ste 100, Syracuse, NY 13212-4516 Ph: (315) 464-2000 | Jason M Wallen, MD 750 East Adams St, Syracuse, NY 13210 Ph: (315) 464-1800 |
Mehdi A Marvasti, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 104 Union Ave, Suite 1008, Syracuse, NY 13203 Phone: 315-422-4442 Fax: 315-448-6126 | |
Suhas V. Pradhan, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 725 Irving Ave, Ste 514, Syracuse, NY 13210 Phone: 315-475-8409 Fax: 315-475-6026 | |
Mr. Timothy D Keyes, PA Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 301 Prospect Ave, Syracuse, NY 13203 Phone: 315-448-5111 Fax: 315-703-5079 | |
Richard Sang Lee, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 750 East Adams St, Syracuse, NY 13210 Phone: 315-464-1800 Fax: 315-464-6238 | |
Dr. Kyril Choumarov, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 750 East Adams St, Ste 4835, Syracuse, NY 13210 Phone: 315-464-1800 Fax: 315-464-6238 | |
Sanjay A Samy, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 750 East Adams St, Syracuse, NY 13210 Phone: 315-464-1800 Fax: 315-464-6238 | |
Dr. Donato Antonio Sisto, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 739 Irving Ave, Suite 640, Syracuse, NY 13210 Phone: 315-464-6255 Fax: 315-464-6251 |