Gary L Wade, MD | |
2422 20th St Sw, Jamestown, ND 58401-6201 | |
(701) 952-4854 | |
Not Available |
Full Name | Gary L Wade |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 45 Years |
Location | 2422 20th St Sw, Jamestown, North Dakota |
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 |
---|---|---|---|
1306832571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD00022330 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northridge Hospital Medical Center | Northridge, CA | Hospital |
Providence Saint Joseph Medical Ctr | Burbank, CA | Hospital |
Antelope Valley Hospital | Lancaster, CA | Hospital |
St Mary Medical Center | Long beach, CA | Hospital |
Valley Presbyterian Hospital | Van nuys, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Golden State Imaging Associates Inc | 1254761315 | 230 |
Renaissance Imaging Medical Associates Inc | 7315841756 | 132 |
Entity Name | Renaissance Imaging Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487608931 PECOS PAC ID: 7315841756 Enrollment ID: O20170221002249 |
Entity Name | Golden State Imaging Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144872052 PECOS PAC ID: 1254761315 Enrollment ID: O20200917000404 |
Mailing Address | Practice Location Address |
---|---|
Gary L Wade, MD 484 Snider Dr, Walla Walla, WA 99362-8075 Ph: (530) 340-1428 | Gary L Wade, MD 2422 20th St Sw, Jamestown, ND 58401-6201 Ph: (701) 952-4854 |
Dr. Raymundo T Tan, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 419 5th St Ne, Jamestown, ND 58401 Phone: 701-252-1050 Fax: 701-952-3265 |