| Dr Timothy Folsom Shepard, MD | |
|
1 Northway Ln, Latham, NY 12110 | |
| (518) 786-1291 | |
| Not Available |
| Full Name | Dr Timothy Folsom Shepard |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 21 Years |
| Location | 1 Northway Ln, Latham, 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 |
|---|---|---|---|
| 1700082740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 238075 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lourdes Hospital | Binghamton, NY | Hospital |
| Saratoga Hospital | Saratoga springs, NY | Hospital |
| United Health Services Hospitals, Inc | Binghamton, NY | Hospital |
| St Mary's Healthcare | Amsterdam, NY | Hospital |
| Adirondack Medical Center | Saranac lake, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Millennium Medical Imaging Pc | 5799776910 | 29 |
| Entity Name | Ramapo Imaging Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932150935 PECOS PAC ID: 6901705060 Enrollment ID: O20040107000757 |
| Entity Name | Millennium Medical Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235114182 PECOS PAC ID: 5799776910 Enrollment ID: O20040518001125 |
| Entity Name | Starling Diagnostics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497397152 PECOS PAC ID: 6800224759 Enrollment ID: O20200309000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy Folsom Shepard, MD 1 Northway Ln, Latham, NY 12110 Ph: (518) 786-1291 | Dr Timothy Folsom Shepard, MD 1 Northway Ln, Latham, NY 12110 Ph: (518) 786-1291 |
Carlton Phelps, Radiology Medicare: Medicare Enrolled Practice Location: 711 Troy Schenectady Rd, Suite 114, Latham, NY 12110 Phone: 518-786-1600 | |
Lisa Ribons, Radiology Medicare: Accepting Medicare Assignments Practice Location: 6 Wellness Way Ste G06, Latham, NY 12110 Phone: 518-786-1600 Fax: 518-786-1606 | |
Phuong Vinh, Radiology Medicare: Accepting Medicare Assignments Practice Location: 711 Troy Schenectady Rd, Suite 114, Latham, NY 12110 Phone: 518-786-1600 | |
Rupal Patel, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 711 Troy Schenectady Rd, 114, Latham, NY 12110 Phone: 518-786-1600 | |
Samit N Shah, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 711 Troy Schenectady Rd, Suite 114, Latham, NY 12110 Phone: 518-786-1600 Fax: 518-786-1606 | |
Allen Herr, Radiology Medicare: Accepting Medicare Assignments Practice Location: Crhp-711 Troy-schenectady Road, Suite 114, Latham, NY 12110 Phone: 518-786-1600 | |
Ellen Czajka, Radiology Medicare: Not Enrolled in Medicare Practice Location: 711 Troy Schenectady Rd, Suite 114, Latham, NY 12110 Phone: 518-786-1600 |