| Ryan White, MD | |
|
117 Foote Ave, Suite 100, Jamestown, NY 14701-6947 | |
| (716) 338-9200 | |
| (716) 338-9250 |
| Full Name | Ryan White |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 27 Years |
| Location | 117 Foote Ave, Jamestown, New York |
| 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 |
|---|---|---|---|
| 1912932799 | NPI | - | NPPES |
| 2581822 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 231146 (New York) | Primary |
| 208800000X | Urology | MD424652 (Pennsylvania) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Upmc Chautauqua At Wca | Jamestown, NY | Hospital |
| Brooks-tlc Hospital System, Inc | Dunkirk, NY | Hospital |
| Warren General Hospital | Warren, PA | Hospital |
| Olean General Hospital | Olean, NY | Hospital |
| Westfield Memorial Hospital, Inc | Westfield, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Great Lakes Physician Pc | 9133434269 | 67 |
| Entity Name | Great Lakes Physician Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659310092 PECOS PAC ID: 9133434269 Enrollment ID: O20150818004788 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan White, MD 117 Foote Ave, Suite 100, Jamestown, NY 14701-6947 Ph: (716) 338-9200 | Ryan White, MD 117 Foote Ave, Suite 100, Jamestown, NY 14701-6947 Ph: (716) 338-9200 |
Benjamin B Luong, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 117 Foote Ave, Jamestown, NY 14701 Phone: 716-338-9200 Fax: 716-338-9250 | |
Eric David Arnone, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 117 Foote Ave, Jamestown, NY 14701 Phone: 716-338-9200 Fax: 716-338-9250 | |
Ichabod S Jung, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 117 Foote Ave, Suite 100, Jamestown, NY 14701 Phone: 716-338-9200 Fax: 716-338-9250 | |
Peter J Walter, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 117 Foote Ave, Suite 100, Jamestown, NY 14701 Phone: 716-338-9200 Fax: 716-338-9250 |