| Dr Bernard N Raasch, MD | |
|
5100 W Taft Rd, Suite 2a, Liverpool, NY 13088-3807 | |
| (315) 452-2555 | |
| (315) 452-2559 |
| Full Name | Dr Bernard N Raasch |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 5100 W Taft Rd, Liverpool, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508858408 | NPI | - | NPPES |
| 00482233 | Medicaid | NY | |
| 00555440 | Medicaid | NY | |
| 00555500 | Medicaid | NY | |
| 02224500 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 133776 (New York) | Primary |
| Entity Name | University Radiology Associates, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215978184 PECOS PAC ID: 4981686110 Enrollment ID: O20040602001011 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bernard N Raasch, MD 4567 Crossroads Park Dr, 2nd Floor, Liverpool, NY 13088-3589 Ph: (315) 295-2100 | Dr Bernard N Raasch, MD 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088-3807 Ph: (315) 452-2555 |
Dr. Gary D Leavitt, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088 Phone: 315-452-2555 Fax: 315-452-2559 | |
Dr. Edward Randolph Noble Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088 Phone: 315-452-2555 Fax: 315-452-2559 | |
Dr. Jonathan M. Jacobs, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088 Phone: 315-452-2555 Fax: 315-452-2559 | |
Dr. John P Teixeira, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088 Phone: 315-452-2555 Fax: 315-452-2559 | |
Dr. Sherwin C Pollock, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088 Phone: 315-452-2555 Fax: 315-452-2559 | |
Dr. Carmelita V Sanpedro, M.D Radiology Medicare: Not Enrolled in Medicare Practice Location: 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088 Phone: 315-452-2555 Fax: 315-452-2559 | |
Dr. Wilfred Carey Iii, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088 Phone: 315-452-2555 Fax: 315-452-2559 |