Dr Dylan Ned Wolman, MD - Medicare Radiology in Providence, RI

Dr Dylan Ned Wolman, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Providence, Rhode Island. His current practice location is 593 Eddy St, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 444-4000.

Dr Dylan Ned Wolman is licensed to practice in Rhode Island (license number MD19449) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265828081.

Contact Information

Dr Dylan Ned Wolman, MD
593 Eddy St,
Providence, RI 02903-4923
(401) 444-4000
Not Available



Physician's Profile

Full NameDr Dylan Ned Wolman
GenderMale
SpecialityRadiology - Vascular & Interventional Radiology
Location593 Eddy St, Providence, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265828081
  • Provider Enumeration Date: 04/08/2015
  • Last Update Date: 10/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7012348600
  • Enrollment ID: I20200514002854

Medical Identifiers

Medical identifiers for Dr Dylan Ned Wolman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265828081NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085N0700XRadiology - Neuroradiology MD208113 (Oregon)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 1017009 (Massachusetts)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology MD19449 (Rhode Island)Primary
2085R0202XRadiology - Diagnostic Radiology MD19449 (Rhode Island)Secondary

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. Dr Dylan Ned Wolman allows following entities to bill medicare on his behalf.
Entity NameStanford Health Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437292927
PECOS PAC ID: 6709797491
Enrollment ID: O20031124000348

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Entity NameLpch Medical Group Div Of Lucile
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417907940
PECOS PAC ID: 0840298543
Enrollment ID: O20061113000232

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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. Dr Dylan Ned Wolman 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
Dr Dylan Ned Wolman, MD
117 Ellenfield St Ste 101,
Providence, RI 02905-4541

Ph: (401) 444-6779
Dr Dylan Ned Wolman, MD
593 Eddy St,
Providence, RI 02903-4923

Ph: (401) 444-4000

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› Verified 4 days ago


Radiology Doctors in Providence, RI

Lars Stangenberg, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2 Dudley St, Suite 470, Providence, RI 02905
Phone: 401-553-8318    Fax: 401-868-2307
Kara Lynne Leonard, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Rih Radiation Oncology, Providence, RI 02903
Phone: 401-444-8311    Fax: 401-444-5335
Michael Low Cardenas, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 825 N Main St, Providence, RI 02904
Phone: 774-279-0884    
Earle O Assanah, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5174    
Glenn A Tung, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-4000    
Sarah-kim Shields, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Radiology, Providence, RI 02903
Phone: 401-444-2133    Fax: 401-444-5017
Sean O'neill, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5127    Fax: 401-444-3056

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