Dale W Sponaugle, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Medina, New York. He went to State University Of New York At Buffalo School Of Medicine and graduated in 1985 and has 41 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Orleans Community Health and his current practice location is
200 Ohio St, Medina, New York. You can reach out to his office (for appointments etc.) via phone at
(585) 798-8054.
Dale W Sponaugle is licensed to practice in New York (license number 164356) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023018462.
Physician's Profile
| Full Name | Dale W Sponaugle |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 41 Years |
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| Location | 200 Ohio St, Medina, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dale W Sponaugle attended and graduated from State University Of New York At Buffalo School Of Medicine in 1985
NPI Data:
- NPI Number: 1023018462
- Provider Enumeration Date: 07/28/2005
- Last Update Date: 08/30/2017
Medicare PECOS Information:
- PECOS PAC ID: 1355318221
- Enrollment ID: I20040911000213
Medical Identifiers
Medical identifiers for Dale W Sponaugle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023018462 | NPI | - | NPPES |
| 000525331009 | Other | NY | BCBS WNY |
| 201590500 | Other | | FEDERAL WORKERS COMP |
| P010164356 | Other | NY | ROCHESTER BCBS |
| 020382600 | Other | | FEDERAL BLACK LUNG |
| 040403006845 | Other | NY | FIDELIS CARE NEW YORK |
| 117837FF | Other | NY | PREFERRED CARE |
| 00020548502 | Other | NY | UNIVERA HEALTHCARE |
| 01257134 | Medicaid | NY | |
| 5690902 | Other | NY | INDEPENDENT HEALTH |
| 164356 | Other | NY | WORKERS COMPENSATION |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | 164356 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Orleans Community Health | 7315857018 | 17 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dale W Sponaugle allows following entities to bill medicare on his behalf.
| Entity Name | Orleans Community Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609873520
PECOS PAC ID: 7315857018
Enrollment ID: O20040504000620 |
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| Entity Name | Windsong Radiology Group P C |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821048562
PECOS PAC ID: 0749264752
Enrollment ID: O20040616001437 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dale W Sponaugle is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dale W Sponaugle, MD
275 Northpointe Pkwy, Ste 50,
Amherst, NY 14228-1895
Ph: (716) 692-2160 | Dale W Sponaugle, MD
200 Ohio St,
Medina, NY 14103-1063
Ph: (585) 798-8054 |
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