| John L Wade, MD | |
|
688 Kinoole St Ste 103, Hilo, HI 96720-3868 | |
| (808) 969-8010 | |
| (903) 663-7394 |
| Full Name | John L Wade |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 35 Years |
| Location | 688 Kinoole St Ste 103, Hilo, Hawaii |
| 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 |
|---|---|---|---|
| 1326087487 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Honorhealth Scottsdale Shea Medical Center | Scottsdale, AZ | Hospital |
| Scottsdale Osborn Medical Center | Scottsdale, AZ | Hospital |
| Honorhealth Deer Valley Medical Center | Phoenix, AZ | Hospital |
| John C. Lincoln North Mountain Hospital | Phoenix, AZ | Hospital |
| Scottsdale Thompson Peak Medical Center | Scottsdale, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sonoran Radiology Ltd | 3375964505 | 386 |
| Southwest Diagnostic Imaging Llc | 7416946199 | 100 |
| Entity Name | Southwest Diagnostic Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902896236 PECOS PAC ID: 7416946199 Enrollment ID: O20040507001294 |
| Entity Name | Sonoran Radiology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033745708 PECOS PAC ID: 3375964505 Enrollment ID: O20200526002412 |
| Mailing Address | Practice Location Address |
|---|---|
| John L Wade, MD 100 Hospital Dr, Bennington, VT 05201-5004 Ph: () - | John L Wade, MD 688 Kinoole St Ste 103, Hilo, HI 96720-3868 Ph: (808) 969-8010 |
Manfred Tejerina, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 688 Kinoole St Ste 103, Hilo, HI 96720 Phone: 808-969-8010 Fax: 903-663-7394 | |
Douglas Mitchell Sides, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 688 Kinoole St, Suite 103, Hilo, HI 96720 Phone: 808-935-1825 Fax: 903-663-7394 | |
Dr. Michael Jt Seu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 670 Ponahawai St, #110, Hilo, HI 96720 Phone: 808-933-2540 Fax: 808-935-5207 | |
Dr. David W Camacho, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 670 Ponahawai St, #103, Hilo, HI 96720 Phone: 808-933-2540 Fax: 808-935-5207 | |
Dr. Ming Y Peng, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1190 Waianuenue St, Hilo Medical Center, Hilo, HI 96720 Phone: 808-974-6841 Fax: 808-935-1889 | |
Dr. Scott R Grosskreutz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 82 Puuhonu Pl, #102, Hilo, HI 96720 Phone: 808-961-4746 Fax: 808-933-2532 |