| Beth Ellen Whiteside, MD | |
|
711 Troy Schenectady Rd, Suite 114, Latham, NY 12110-2442 | |
| (518) 786-1600 | |
| (518) 786-1606 |
| Full Name | Beth Ellen Whiteside |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 17 Years |
| Location | 711 Troy Schenectady Rd, Latham, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467654616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 2007-00844 (North Carolina) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 248204 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hartford Hospital | Hartford, CT | Hospital |
| Windham Community Memorial Hospital | Willimantic, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Connecticut Imaging Partners Llc | 4183649098 | 71 |
| Tic Llc | 4880972819 | 38 |
| Jefferson Radiology Pc | 8729982525 | 97 |
| Connecticut Imaging Partners Llc | 4183649098 | 71 |
| Jefferson Radiology Pc | 8729982525 | 97 |
| Connecticut Imaging Partners Llc | 4183649098 | 71 |
| Tic Llc | 4880972819 | 38 |
| Jefferson Radiology Pc | 8729982525 | 97 |
| Entity Name | Ellis Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487644993 PECOS PAC ID: 5890607410 Enrollment ID: O20031103000406 |
| Entity Name | Albany Medical College |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982634804 PECOS PAC ID: 1759293111 Enrollment ID: O20040722001091 |
| Entity Name | Albany Medical Center Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609806520 PECOS PAC ID: 8224018999 Enrollment ID: O20040722001140 |
| Entity Name | Community Care Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922048370 PECOS PAC ID: 8022904473 Enrollment ID: O20080130000272 |
| Entity Name | Connecticut Imaging Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740315761 PECOS PAC ID: 4183649098 Enrollment ID: O20180808001256 |
| Entity Name | Farmington Imaging Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275987802 PECOS PAC ID: 7719265651 Enrollment ID: O20180808001285 |
| Entity Name | Albany Medical College |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497921688 PECOS PAC ID: 1759293111 Enrollment ID: O20190320001621 |
| Entity Name | Jefferson Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396795951 PECOS PAC ID: 8729982525 Enrollment ID: O20210204002325 |
| Entity Name | Tic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457702813 PECOS PAC ID: 4880972819 Enrollment ID: O20240226003672 |
| Mailing Address | Practice Location Address |
|---|---|
| Beth Ellen Whiteside, MD 711 Troy Schenectady Rd, Suire 203, Latham, NY 12110-2442 Ph: (518) 782-3700 | Beth Ellen Whiteside, MD 711 Troy Schenectady Rd, Suite 114, Latham, NY 12110-2442 Ph: (518) 786-1600 |
Carlton Phelps, Radiology Medicare: Medicare Enrolled Practice Location: 711 Troy Schenectady Rd, Suite 114, Latham, NY 12110 Phone: 518-786-1600 | |
Lisa Ribons, Radiology Medicare: Accepting Medicare Assignments Practice Location: 6 Wellness Way Ste G06, Latham, NY 12110 Phone: 518-786-1600 Fax: 518-786-1606 | |
Phuong Vinh, Radiology Medicare: Accepting Medicare Assignments Practice Location: 711 Troy Schenectady Rd, Suite 114, Latham, NY 12110 Phone: 518-786-1600 | |
Rupal Patel, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 711 Troy Schenectady Rd, 114, Latham, NY 12110 Phone: 518-786-1600 | |
Samit N Shah, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 711 Troy Schenectady Rd, Suite 114, Latham, NY 12110 Phone: 518-786-1600 Fax: 518-786-1606 | |
Allen Herr, Radiology Medicare: Accepting Medicare Assignments Practice Location: Crhp-711 Troy-schenectady Road, Suite 114, Latham, NY 12110 Phone: 518-786-1600 | |
Ellen Czajka, Radiology Medicare: Not Enrolled in Medicare Practice Location: 711 Troy Schenectady Rd, Suite 114, Latham, NY 12110 Phone: 518-786-1600 |