| Dr Philip J Fraccola, MD | |
|
5100 W Taft Rd, Suite 2a, Liverpool, NY 13088-3807 | |
| (315) 452-2555 | |
| (315) 452-2559 |
| Full Name | Dr Philip J Fraccola |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 39 Years |
| Location | 5100 W Taft Rd, Liverpool, 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 |
|---|---|---|---|
| 1699767707 | NPI | - | NPPES |
| 02224500 | Medicaid | NY | |
| 00555500 | Medicaid | NY | |
| 00555440 | Medicaid | NY | |
| 01334321 | Medicaid | NY |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph's Hospital Health Center | Syracuse, NY | Hospital |
| Regional Medical Center Bayonet Point | Hudson, FL | Hospital |
| Oak Hill Hospital | Brooksville, FL | Hospital |
| Citrus Memorial Hospital | Inverness, FL | Hospital |
| South Bay Hospital | Sun city center, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Josephs Imaging Associates Pllc | 5991775553 | 15 |
| Prospect Hill Radiology Group Pc | 6204806862 | 14 |
| Mohawk Glen Radiology Associates Of Cny Pllc | 8224215900 | 12 |
| Mori Bean And Brooks Inc | 8820077878 | 617 |
| Advanced Radiology And Interventional Associates Inc | 2163816448 | 77 |
| Mori Bean And Brooks Inc | 8820077878 | 617 |
| Radiologica Inc | 8820337769 | 31 |
| 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 | Prospect Hill Radiology Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235122425 PECOS PAC ID: 6204806862 Enrollment ID: O20040729001373 |
| Entity Name | St. Josephs Imaging Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093709180 PECOS PAC ID: 5991775553 Enrollment ID: O20040729001400 |
| Entity Name | Mohawk Glen Radiology Associates Of Cny Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538466115 PECOS PAC ID: 8224215900 Enrollment ID: O20110606000626 |
| Entity Name | Mori Bean And Brooks Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20210608003323 |
| Entity Name | Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083802946 PECOS PAC ID: 3375603970 Enrollment ID: O20220916001158 |
| Entity Name | Tra-minw P S |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396814166 PECOS PAC ID: 2163316167 Enrollment ID: O20220921002076 |
| Entity Name | Union Avenue Open Mri Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568531242 PECOS PAC ID: 5597652917 Enrollment ID: O20221005001109 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Philip J Fraccola, MD 4567 Crossroads Park Dr, 2nd Floor, Liverpool, NY 13088-3589 Ph: (315) 295-2100 | Dr Philip J Fraccola, 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: Medicare Enrolled 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: May Accept Medicare Assignments Practice Location: 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088 Phone: 315-452-2555 Fax: 315-452-2559 |