Mr Srinivas Bonthu, MD | |
169 Riverside Dr, Binghamton, NY 13905-4246 | |
(518) 786-1291 | |
(518) 786-1293 |
Full Name | Mr Srinivas Bonthu |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 35 Years |
Location | 169 Riverside Dr, Binghamton, New York |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558335646 | NPI | - | NPPES |
02677521 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 197170 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
City Wide Health Facility, Inc. | 6608766688 | 8 |
Optum Urgent Care Pllc | 8628299518 | 83 |
Optum Medical Care Pc | 9931013240 | 961 |
Entity Name | Optum Medical Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
Entity Name | City Wide Health Facility, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013934025 PECOS PAC ID: 6608766688 Enrollment ID: O20040316000493 |
Entity Name | Prohealth Care Associates Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275596280 PECOS PAC ID: 4486544186 Enrollment ID: O20040317000468 |
Entity Name | Millennium Medical Imaging Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235114182 PECOS PAC ID: 5799776910 Enrollment ID: O20040518001125 |
Entity Name | Optum Urgent Care Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285975797 PECOS PAC ID: 8628299518 Enrollment ID: O20141017000598 |
Mailing Address | Practice Location Address |
---|---|
Mr Srinivas Bonthu, MD Po Box 130, Latham, NY 12110-0130 Ph: (518) 786-1291 | Mr Srinivas Bonthu, MD 169 Riverside Dr, Binghamton, NY 13905-4246 Ph: (518) 786-1291 |
Brian Tischler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 225 Front St, Binghamton, NY 13905 Phone: 607-778-3938 Fax: 607-778-2873 | |
Thomas Wigginton, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 169 Riverside Dr, Binghamton, NY 13905 Phone: 434-321-8466 | |
Robert Caserta, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 169 Riverside Dr, Binghamton, NY 13905 Phone: 607-798-5223 Fax: 607-798-6187 | |
Alexander Y Podvezko, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 169 Riverside Dr, Binghamton, NY 13905 Phone: 607-798-5223 Fax: 607-798-6187 | |
Philip Goodman, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 169 Riverside Dr, Binghamton, NY 13905 Phone: 607-798-5223 Fax: 607-798-6187 | |
Philip D Gottlieb, MD Radiology Medicare: Medicare Enrolled Practice Location: 169 Riverside Dr, Binghamton, NY 13905 Phone: 607-798-5223 Fax: 607-798-5187 |