| 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 | 27 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 |
| Riverside Medical Center | Kankakee, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Riverside Health System | 3274434717 | 209 |
| Olean General Hospital | 9133111784 | 81 |
| Olean General Hospital | 9133111784 | 81 |
| Entity Name | Bonaventure Medical Foundation Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588775647 PECOS PAC ID: 7517863178 Enrollment ID: O20031212000374 |
| Entity Name | Riverside Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417061193 PECOS PAC ID: 3274434717 Enrollment ID: O20040116000780 |
| 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 | |
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 | |
Maria Komissarova, Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Spindrift Dr, Williamsville, NY 14221 Phone: 716-631-2500 |