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 | 21 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 |
418075500 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | D69487 (Maryland) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 236247 (New York) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Anderson Hospital | Maryville, IL | Hospital |
Community Hospital Of Staunton | Staunton, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Maryville Radiology Group Ltd | 6608885256 | 7 |
Entity Name | Diagnostic Medical Imaging Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962412007 PECOS PAC ID: 7719885342 Enrollment ID: O20031222000052 |
Entity Name | Spartan Radiology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932768058 PECOS PAC ID: 5698003697 Enrollment ID: O20220913004027 |
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 |
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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 | |
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 | |
Gregory Bender, Radiology Medicare: Accepting Medicare Assignments Practice Location: 3801 International Dr, Suie 103, Silver Spring, MD 20906 Phone: 301-598-0123 | |
Karoly Andras Viragh, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 12720 Epping Ter, Silver Spring, MD 20906 Phone: 310-343-8328 | |
Dr. Akosua Sintim-damoa, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1220 E West Hwy, Apartment 1602, Silver Spring, MD 20910 Phone: 732-447-7165 |