| Renaldo Williams, | |
|
600 N Wolfe Street, Zayed Suite 6107, Baltimore, MD 21287 | |
| (410) 502-3122 | |
| (410) 955-1884 |
| Full Name | Renaldo Williams |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 13 Years |
| Location | 600 N Wolfe Street, Baltimore, Maryland |
| 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 |
|---|---|---|---|
| 1124463393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | D92134 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| John H Stroger Jr Hospital | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cook County | 2860398088 | 770 |
| Entity Name | Cook County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
| Mailing Address | Practice Location Address |
|---|---|
| Renaldo Williams, 6201 Greenleigh Ave, Baltimore, MD 21220-2004 Ph: (410) 933-6423 | Renaldo Williams, 600 N Wolfe Street, Zayed Suite 6107, Baltimore, MD 21287 Ph: (410) 502-3122 |
Dr. Sabrina Christine Sopha, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 410-955-3580 |
Dr. Samantha A Wolfe, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4940 Eastern Ave, Baltimore, MD 21224 Phone: 410-550-2370 Fax: 410-955-0035 |
Spencer Wilson, Surgery Medicare: Medicare Enrolled Practice Location: 1800 Orleans St, Baltimore, MD 21287 Phone: 410-933-6423 |
Dr. Evan Wong, MD, MPH, FRCSC Surgery Medicare: Not Enrolled in Medicare Practice Location: 1800 Orleans St Ste 6107, Baltimore, MD 21287 Phone: 410-955-2244 |
Georgios Antonios Margonis, MD, PHD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1800 Orleans Street - Tower 110, Baltimore, MD 21287 Phone: 443-440-1103 |
Bruce Robert Gibson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4940 Eastern Ave, Baltimore, MD 21224 Phone: 410-550-0100 |
Kenzo Hirose, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 410-955-6190 |