| Alexander Y Podvezko, MD | |
|
169 Riverside Dr, Binghamton, NY 13905-4246 | |
| (607) 798-5223 | |
| (607) 798-6187 |
| Full Name | Alexander Y Podvezko |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 40 Years |
| Location | 169 Riverside Dr, Binghamton, 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 |
|---|---|---|---|
| 1710971551 | NPI | - | NPPES |
| 1014702920002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085N0700X | Radiology - Neuroradiology | 229266 (New York) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 229266 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Crouse Hospital | Syracuse, NY | Hospital |
| Oswego Hospital | Oswego, NY | Hospital |
| St Joseph's Hospital Health Center | Syracuse, NY | Hospital |
| University Hospital S U N Y Health Science Center | Syracuse, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Imaging Center Llp | 7911991831 | 38 |
| Crouse Radiology Associates Llp | 1850387648 | 105 |
| Entity Name | Syracuse Orthopedic Specialists, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669410379 PECOS PAC ID: 6406760073 Enrollment ID: O20031118000264 |
| Entity Name | Medical Imaging Center LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538153671 PECOS PAC ID: 7911991831 Enrollment ID: O20040413001415 |
| Entity Name | Crouse Radiology Associates LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447244587 PECOS PAC ID: 1850387648 Enrollment ID: O20040426000762 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Y Podvezko, MD 601 Gates Rd, Suite 3, Vestal, NY 13850-2288 Ph: (607) 772-9462 | Alexander Y Podvezko, MD 169 Riverside Dr, Binghamton, NY 13905-4246 Ph: (607) 798-5223 |
Desiree Maria Ferdinandi, Radiology Medicare: Accepting Medicare Assignments Practice Location: 169 Riverside Dr, Binghamton, NY 13905 Phone: 518-650-7503 |
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 |
Mr. Srinivas Bonthu, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 169 Riverside Dr, Binghamton, NY 13905 Phone: 518-786-1291 Fax: 518-786-1293 |
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: Not Enrolled in Medicare Practice Location: 169 Riverside Dr, Binghamton, NY 13905 Phone: 607-798-5223 Fax: 607-798-5187 |
Jerome M Brustein, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 169 Riverside Dr, Binghamton, NY 13905 Phone: 607-798-5223 Fax: 607-798-6187 |