Thomas Bevilacqua, MD - Medicare Diagnostic Radiology in Williamsville, NY

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Thomas Bevilacqua, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Williamsville, New York. He went to State University Of New York At Buffalo School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Great Lakes Medical Imaging Llc and his current practice location is 111 N Maplemere Rd Ste 120, Williamsville, New York. You can reach out to his office (for appointments etc.) via phone at (716) 836-4646.

Thomas Bevilacqua is licensed to practice in New York (license number 288107) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093094005.

Contact Information

Thomas Bevilacqua, MD
111 N Maplemere Rd Ste 120,
Williamsville, NY 14221-3178
(716) 836-4646
(716) 836-4696

Map and Direction




Physician's Profile

Full NameThomas Bevilacqua
GenderMale
SpecialityDiagnostic Radiology
Experience13 Years
Location111 N Maplemere Rd Ste 120, Williamsville, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Thomas Bevilacqua attended and graduated from State University Of New York At Buffalo School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1093094005
  • Provider Enumeration Date: 08/08/2011
  • Last Update Date: 08/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6103194212
  • Enrollment ID: I20170614000817

Medical Identifiers

Medical identifiers for Thomas Bevilacqua such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093094005NPI-NPPES
04873929MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 125.060174 (Illinois)Secondary
2085R0202XRadiology - Diagnostic Radiology 288107 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Erie County Medical CenterBuffalo, NYHospital
Kaleida HealthBuffalo, NYHospital
Olean General HospitalOlean, NYHospital
Brooks-tlc Hospital System, IncDunkirk, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Great Lakes Medical Imaging Llc216368185938

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Thomas Bevilacqua allows following entities to bill medicare on his behalf.
Entity NameWestern New York Radiology Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285682500
PECOS PAC ID: 3072402296
Enrollment ID: O20040315000217
Entity NameUniversity Orthopaedic Services Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578599866
PECOS PAC ID: 7810983004
Enrollment ID: O20040422001292
Entity NameOlean Radiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700829850
PECOS PAC ID: 9133118862
Enrollment ID: O20040508000177
Entity NameGreat Lakes Medical Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861763005
PECOS PAC ID: 2163681859
Enrollment ID: O20120316000017

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thomas Bevilacqua is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Thomas Bevilacqua, MD
111 N Maplemere Rd Ste 120,
Williamsville, NY 14221-3178

Ph: (716) 836-4646		Thomas Bevilacqua, MD
111 N Maplemere Rd Ste 120,
Williamsville, NY 14221-3178

Ph: (716) 836-4646

Reviews and Comments


Radiology Doctors in Williamsville, NY

Dr. David Hayes, MD
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Phone: 716-631-2500    Fax: 716-631-1249
Dr. Stuart Rubin, MD
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Phillip Adam Baum, MD
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Practice Location: 111 N Maplemere Rd Ste 120, Williamsville, NY 14221
Phone: 716-836-4646    Fax: 716-836-4696
Dr. Anna Chen, DO
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Dr. James J Rinaldi, MD
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Practice Location: 111 N Maplemere Rd Ste 120, Williamsville, NY 14221
Phone: 716-836-4646    Fax: 716-836-4696
Maria Komissarova,
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Practice Location: 55 Spindrift Dr, Williamsville, NY 14221
Phone: 716-631-2500    
Dr. Thomas Summers, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 55 Spindrift Dr, Windsong Radiology Group, P.c., Williamsville, NY 14221
Phone: 716-631-2500    Fax: 716-631-1249

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.