Sean William Wilson, MD | |
55 Lake Ave N, Worcester, MA 01655-0001 | |
(508) 856-2776 | |
(508) 334-9108 |
Full Name | Sean William Wilson |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 15 Years |
Location | 55 Lake Ave N, Worcester, Massachusetts |
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 |
---|---|---|---|
1477886182 | NPI | - | NPPES |
110104786A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | ML60096300 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Umass Memorial Medical Center/university Campus | Worcester, MA | Hospital |
Harrington Memorial Hospital-1 | Southbridge, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Umass Memorial Medical Group Inc | 4284539891 | 1898 |
Entity Name | Umass Memorial Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
Entity Name | Umass Memorial Radiology Phys Serv |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639122096 PECOS PAC ID: 6800868779 Enrollment ID: O20040811000206 |
Mailing Address | Practice Location Address |
---|---|
Sean William Wilson, MD Po Box 415348, Boston, MA 02241-5348 Ph: (800) 225-8885 | Sean William Wilson, MD 55 Lake Ave N, Worcester, MA 01655-0001 Ph: (508) 856-2776 |
Dominique Rowcroft, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3850 | |
Alan Goldstein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3850 Fax: 508-856-1860 | |
Nicholas Charles Fasano, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave North, Worcester, MA 01655 Phone: 508-334-3850 | |
Jasmeet Singh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3850 Fax: 508-334-9108 | |
John Robinson, Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3850 | |
Fareed Riyaz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 978-939-2035 Fax: 978-939-2039 | |
Dr. Elias H Salloum, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-363-6177 |