| Dr Ian Jermaine Wilson, MD | |
|
55 Spindrift Dr, Williamsville, NY 14221-7891 | |
| (716) 631-2500 | |
| Not Available |
| Full Name | Dr Ian Jermaine Wilson |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 26 Years |
| Location | 55 Spindrift Dr, Williamsville, New York |
| 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 |
|---|---|---|---|
| 1871793570 | NPI | - | NPPES |
| 02933948 | Medicaid | NY |
| Facility Name | Location | Facility Type |
|---|---|---|
| Olean General Hospital | Olean, NY | Hospital |
| University Hospital S U N Y Health Science Center | Syracuse, NY | Hospital |
| Riverside Medical Center | Kankakee, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Radiology Associates, Llp | 4981686110 | 32 |
| Olean General Hospital | 9133111784 | 58 |
| Olean General Hospital | 9133111784 | 58 |
| Riverside Health System | 3274434717 | 157 |
| Entity Name | Olean General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649296781 PECOS PAC ID: 9133111784 Enrollment ID: O20040401001531 |
| Entity Name | St Lawrence Radiology Assoc Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154380863 PECOS PAC ID: 2264421122 Enrollment ID: O20040507000290 |
| Entity Name | Olean Radiology P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700829850 PECOS PAC ID: 9133118862 Enrollment ID: O20040508000177 |
| 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 |
| Entity Name | Windsong Radiology Group P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821048562 PECOS PAC ID: 0749264752 Enrollment ID: O20040616001437 |
| Entity Name | Usa Medical Of Bensonhurst Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780028597 PECOS PAC ID: 3173746799 Enrollment ID: O20140528001303 |
| Entity Name | New York Professional Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639518848 PECOS PAC ID: 9537483565 Enrollment ID: O20150123000194 |
| Entity Name | Starrett City Medical Of New York Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043752785 PECOS PAC ID: 7113288564 Enrollment ID: O20180227000669 |
| Entity Name | Pelham Pkwy Medical Of New York Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285156067 PECOS PAC ID: 4082976386 Enrollment ID: O20180327000712 |
| Entity Name | Pelham Pkwy Professional Medical Services Of New York Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063926962 PECOS PAC ID: 9335404557 Enrollment ID: O20180517001134 |
| Entity Name | Queens Professional Medical Services Of New York Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184138091 PECOS PAC ID: 2062777527 Enrollment ID: O20180604001787 |
| Entity Name | Norwood Professional Medical Services Of New York Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528547312 PECOS PAC ID: 4183977366 Enrollment ID: O20181106000914 |
| Entity Name | Bushwick Professional Medical Services Of New York Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003393299 PECOS PAC ID: 0648516617 Enrollment ID: O20190111001240 |
| Entity Name | Syracuse Medical Of New York Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457983181 PECOS PAC ID: 1355770553 Enrollment ID: O20200409002928 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ian Jermaine Wilson, MD 700 E Morehead St Ste 300, Charlotte, NC 28202-2742 Ph: () - | Dr Ian Jermaine Wilson, MD 55 Spindrift Dr, Williamsville, NY 14221-7891 Ph: (716) 631-2500 |
Dr. David Hayes, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 55 Spindrift Dr, Windsong Radiology Group, P.c., Williamsville, NY 14221 Phone: 716-631-2500 Fax: 716-631-1249 | |
Dr. Jacob Chenez, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 N Maplemere Rd Ste 120, Williamsville, NY 14221 Phone: 716-836-4646 Fax: 716-836-4696 | |
Dr. Stuart Rubin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Spindrift Dr, Williamsville, NY 14221 Phone: 716-631-2500 Fax: 716-631-1249 | |
Marcy A Mcintosh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Spindrift Dr, Williamsville, NY 14221 Phone: 716-631-2500 | |
Phillip Adam Baum, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 N Maplemere Rd Ste 120, Williamsville, NY 14221 Phone: 716-836-4646 Fax: 716-836-4696 | |
Dr. Anna Chen, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Spindrift Dr, Williamsville, NY 14221 Phone: 716-631-2500 Fax: 716-631-1249 | |
Dr. James J Rinaldi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 N Maplemere Rd Ste 120, Williamsville, NY 14221 Phone: 716-836-4646 Fax: 716-836-4696 |