Barton William Wild, MD | |
3770 Glenkerry Ct, Portage, MI 49024-0700 | |
(269) 329-2887 | |
(269) 329-2805 |
Full Name | Barton William Wild |
---|---|
Gender | Male |
Speciality | Pain Management |
Experience | 19 Years |
Location | 3770 Glenkerry Ct, Portage, Michigan |
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 |
---|---|---|---|
1710197579 | NPI | - | NPPES |
1710197579 | Medicaid | MI | |
M91620016 | Other | MI | UHC COMMUNITY PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | 4301086518 (Michigan) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 4301086518 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lakeland Hospital, St Joseph | St joseph, MI | Hospital |
Oaklawn Hospital | Marshall, MI | Hospital |
Bronson Battle Creek Hospital | Battle creek, MI | Hospital |
Lakeland Hospital Watervliet | Watervliet, MI | Hospital |
Borgess Medical Center | Kalamazoo, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Michigan Pain Consultants Pc | 3173590957 | 10 |
Entity Name | Southern Michigan Pain Consultants Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538119391 PECOS PAC ID: 3173590957 Enrollment ID: O20040911000291 |
Mailing Address | Practice Location Address |
---|---|
Barton William Wild, MD 5555 Glenwood Hills Pkwy Se Ste 2, Grand Rapids, MI 49512-2091 Ph: (616) 940-2662 | Barton William Wild, MD 3770 Glenkerry Ct, Portage, MI 49024-0700 Ph: (269) 329-2887 |
Charles Guernsey, DO Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 3770 Glenkerry Ct, Portage, MI 49024 Phone: 269-329-2887 Fax: 269-329-2805 |