| John Michael Reiser, MD | |
|
40 Birdsong Pkwy, Orchard Park, NY 14127-3068 | |
| (716) 574-2672 | |
| Not Available |
| Full Name | John Michael Reiser |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 40 Birdsong Pkwy, Orchard Park, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790785137 | NPI | - | NPPES |
| 000525977008 | Other | BLUE SHIELD OF WESTERN NY | |
| CR1939750B | Other | NY | WORKERS COMPENSATION |
| 02060997 | Medicaid | NY | |
| P00422403 | Other | RAILROAD MEDICARE | |
| 208616656 | Other | FIDELIS | |
| P00259090 | Other | NY | RAILROAD MEDICARE |
| 00025112506 | Other | UNIVERA | |
| 5611064 | Other | INDEPENDENT HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 193975 (New York) | Primary |
| Entity Name | Smi Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972004489 PECOS PAC ID: 3476696220 Enrollment ID: O20180913002243 |
| Entity Name | Howard Simon Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659930998 PECOS PAC ID: 7214369966 Enrollment ID: O20210318001764 |
| Mailing Address | Practice Location Address |
|---|---|
| John Michael Reiser, MD 40 Birdsong Pkwy, Orchard Park, NY 14127-3068 Ph: (716) 574-2672 | John Michael Reiser, MD 40 Birdsong Pkwy, Orchard Park, NY 14127-3068 Ph: (716) 574-2672 |
Stephanie L Soehnlein, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3900 N Buffalo St, Orchard Park, NY 14127 Phone: 716-630-1112 Fax: 716-631-1178 | |
Dr. Henry Frederick Goller, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 40 Brookins Green Dr, Orchard Park, NY 14127 Phone: 716-662-3871 | |
Jeffrey Lieberman, Radiology Medicare: Accepting Medicare Assignments Practice Location: 3055 Southwestern Blvd, Suite 104, Orchard Park, NY 14127 Phone: 716-677-6736 Fax: 716-677-6144 |