Wesley D Carlisle, MD, DMD in Shreveport, LA - Medicare Oral & Maxillofacial Surgery Provider

Wesley D Carlisle, MD, DMD - Medicare in Shreveport, LA

Wesley D Carlisle, MD, DMD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Shreveport, Louisiana. His current practice location is 915 Shreveport Barksdale Hwy, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 865-0249.

Wesley D Carlisle is licensed to practice in Louisiana (license number 302556) 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 1346627445.

Contact Information

	Wesley D Carlisle, MD, DMD
	915 Shreveport Barksdale Hwy, Shreveport, LA 71105-2205
	(318) 865-0249
	(318) 869-0026

Map and Direction

Healthcare Provider's Profile

Full Name	Wesley D Carlisle
Gender	Male
Speciality	Oral & Maxillofacial Surgery
Location	915 Shreveport Barksdale Hwy, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346627445
Provider Enumeration Date: 04/28/2015
Last Update Date: 08/19/2021

Medicare PECOS Information:

PECOS PAC ID: 0446558654
Enrollment ID: I20160420001899

Medical Identifiers

Medical identifiers for Wesley D Carlisle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346627445	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	7256 (Louisiana)	Secondary
204E00000X	Oral & Maxillofacial Surgery	302556 (Louisiana)	Primary

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. Wesley D Carlisle 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 Address	Practice Location Address
Wesley D Carlisle, MD, DMD 915 Shreveport Barksdale Hwy, Shreveport, LA 71105-2205 Ph: (318) 865-0249	Wesley D Carlisle, MD, DMD 915 Shreveport Barksdale Hwy, Shreveport, LA 71105-2205 Ph: (318) 865-0249