| Iwao K Tanaka, MD | |
|
700 High St, Williamsport, PA 17701-3100 | |
| (570) 322-1161 | |
| (570) 322-2030 |
| Full Name | Iwao K Tanaka |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 19 Years |
| Location | 700 High St, Williamsport, Pennsylvania |
| 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 |
|---|---|---|---|
| 1730491192 | NPI | - | NPPES |
| 1027220260001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 245925 (New York) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD444860 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Williamsport Regional Medical Center | Williamsport, PA | Hospital |
| Upmc Susquehanna Muncy | Muncy, PA | Hospital |
| Upmc Wellsboro | Wellsboro, PA | Hospital |
| Geisinger Medical Center | Danville, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Susquehanna Imaging Associates, Inc. | 3870482409 | 7 |
| Entity Name | Susquehanna Imaging Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326069212 PECOS PAC ID: 3870482409 Enrollment ID: O20040312000168 |
| Mailing Address | Practice Location Address |
|---|---|
| Iwao K Tanaka, MD 700 High St, Williamsport, PA 17701-3100 Ph: (570) 322-1161 | Iwao K Tanaka, MD 700 High St, Williamsport, PA 17701-3100 Ph: (570) 322-1161 |
Benjamin Bansun Chang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 740 High St Ste 2001, Williamsport, PA 17701 Phone: 703-212-8055 | |
David Quintana, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-322-1161 Fax: 570-322-2030 | |
Dr. Richard Douglas Walter, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 87 Selkirk Rd, Williamsport, PA 17701 Phone: 570-326-4828 | |
Abike Ogunrenike Durojaye, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-322-1161 Fax: 570-322-2030 | |
Prakash G Koshy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-322-1161 Fax: 570-322-2030 | |
Chin-chin Yeh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 740 High St Ste 2001, Williamsport, PA 17701 Phone: 570-321-2805 | |
Shabbir Esaa, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-322-1161 Fax: 570-322-2030 |