| Fred T Wang, MD | |
|
12 Harvest Ln, Hockessin, DE 19707-2080 | |
| (952) 595-1100 | |
| (612) 294-4903 |
| Full Name | Fred T Wang |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 31 Years |
| Location | 12 Harvest Ln, Hockessin, Delaware |
| 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 |
|---|---|---|---|
| 1306958368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 25MA10038800 (New Jersey) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | C1-0008270 (Delaware) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary Medical Center | Langhorne, PA | Hospital |
| Nazareth Hospital | Philadelphia, PA | Hospital |
| Mercy Catholic Medical Center- Mercy Fitzgerald | Darby, PA | Hospital |
| St Francis Hospital | Wilmington, DE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Diagnostic Imaging Pc | 1153233283 | 53 |
| Mercy Diagnostic Imaging Pc | 1153233283 | 53 |
| Entity Name | Mercy Diagnostic Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477509768 PECOS PAC ID: 1153233283 Enrollment ID: O20031105000570 |
| Entity Name | Southeast Radiology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790779684 PECOS PAC ID: 9133025232 Enrollment ID: O20031210000107 |
| Entity Name | Pottstown Clinic Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649341934 PECOS PAC ID: 6406857184 Enrollment ID: O20070123000573 |
| Mailing Address | Practice Location Address |
|---|---|
| Fred T Wang, MD 11995 Singletree Ln, Ste 500, Eden Prairie, MN 55344-5347 Ph: (952) 595-1301 | Fred T Wang, MD 12 Harvest Ln, Hockessin, DE 19707-2080 Ph: (952) 595-1100 |
Dr. Shabbir Ali Naqvi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5936 Limestone Rd Ste 301, Hockessin, DE 19707 Phone: 302-234-2380 | |
Paul J. Mccready, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 5936 Limestone Rd, Suite 301, Hockessin, DE 19707 Phone: 302-234-5800 Fax: 302-234-2380 | |
Carlos Flores, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5936 Limestone Rd, Suite 301, Hockessin, DE 19707 Phone: 302-234-5800 Fax: 302-234-2380 | |
Alberto Iaia, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5936 Limestone Rd, Suite 301, Hockessin, DE 19707 Phone: 302-234-5800 Fax: 302-234-2380 | |
S. Barry Diznoff, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 5936 Limestone Rd, Suite 301, Hockessin, DE 19707 Phone: 302-234-5800 Fax: 302-234-2380 | |
Boris Reznikov, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5936 Limestone Rd, Suite 301, Hockessin, DE 19707 Phone: 302-234-5800 Fax: 302-234-2380 |