| Dr Benjamin Michael Wisotsky, MD | |
|
2121 Medical Park Dr, Ste 3, Silver Spring, MD 20902-4054 | |
| (301) 681-3003 | |
| Not Available |
| Full Name | Dr Benjamin Michael Wisotsky |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 22 Years |
| Location | 2121 Medical Park Dr, Silver Spring, Maryland |
| 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 |
|---|---|---|---|
| 1316181092 | NPI | - | NPPES |
| TPME5505 | Other | FL | FLORIDA DEPARTMENT OF HEALTH, DIVISION OF MEDICAL QUALITY ASSURANCE |
| 418075500 | Medicaid | MD |
| Facility Name | Location | Facility Type |
|---|---|---|
| Anderson Hospital | Maryville, IL | Hospital |
| Community Hospital Of Staunton | Staunton, IL | Hospital |
| Midmichigan Medical Center-midland | Midland, MI | Hospital |
| Midmichigan Medical Center - Alpena | Alpena, MI | Hospital |
| Midmichigan Medical Center-clare | Clare, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Maryville Radiology Group Ltd | 6608885256 | 8 |
| Grant County Public Hospital District No. 3 | 6709775166 | 20 |
| Rapid Radiology Inc | 2062734858 | 45 |
| Rapid Radiology Inc | 2062734858 | 45 |
| Entity Name | Maryville Radiology Group Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497773063 PECOS PAC ID: 6608885256 Enrollment ID: O20221128000308 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin Michael Wisotsky, MD 1301 M St Nw, Apt 707, Washington, DC 20005-4201 Ph: () - | Dr Benjamin Michael Wisotsky, MD 2121 Medical Park Dr, Ste 3, Silver Spring, MD 20902-4054 Ph: (301) 681-3003 |
Sameer A. Pandit, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2121 Medical Park Drive, Suite 3, Silver Spring, MD 20902 Phone: 301-681-3003 Fax: 301-681-5868 | |
Mr. Cliff Asabre Debrah, RT Radiology Medicare: Not Enrolled in Medicare Practice Location: 14012 Castle Ridge Way, Silver Spring, MD 20904 Phone: 240-338-6663 | |
Dr. Vivek Victor Mathur, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1500 Forest Glen Rd, Kaiser Permanente Holy Cross Hospital, Silver Spring, MD 20910 Phone: 301-905-3600 | |
Wayne Hwang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2121 Medical Park Drive, Suite 3, Silver Spring, MD 20902 Phone: 301-681-3003 Fax: 301-681-5868 | |
Derek Taeyoung Kim, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1500 Forest Glen Rd, Silver Spring, MD 20910 Phone: 301-754-7000 | |
Brittany Harrison, BS, RDCS, RVT, RDMS Radiology Medicare: Not Enrolled in Medicare Practice Location: 2304 Cold Meadow Way, Silver Spring, MD 20906 Phone: 724-799-9565 | |
Karoly Andras Viragh, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 12720 Epping Ter, Silver Spring, MD 20906 Phone: 310-343-8328 |