Diane Davenport Wilder, MD in Little Rock, AR

Diane Davenport Wilder, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Little Rock, Arkansas. She went to University Of Texas Medical School At San Antonio and graduated in 1996 and has 28 years of diverse experience with area of expertise as Medical Oncology. She is a member of the group practice Central Arkansas Radiation Therapy Institute Inc and her current practice location is 8901 Carti Way, Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 219-8777.

Diane Davenport Wilder is licensed to practice in Arkansas (license number E-3196) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619959525.

Contact Information

	Diane Davenport Wilder, MD
	8901 Carti Way, Little Rock, AR 72205-6523
	(501) 219-8777
	(501) 907-6522

Map and Direction

Physician's Profile

Full Name	Diane Davenport Wilder
Gender	Female
Speciality	Medical Oncology
Experience	28 Years
Location	8901 Carti Way, Little Rock, Arkansas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Diane Davenport Wilder attended and graduated from University Of Texas Medical School At San Antonio in 1996

NPI Data:

NPI Number: 1619959525
Provider Enumeration Date: 11/16/2005
Last Update Date: 03/30/2022

Medicare PECOS Information:

PECOS PAC ID: 2264472224
Enrollment ID: I20050509001048

Medical Identifiers

Medical identifiers for Diane Davenport Wilder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619959525	NPI	-	NPPES
145962001	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RH0003X	Internal Medicine - Hematology & Oncology	E-3196 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Health Medical Center North Little Rock	North little rock, AR	Hospital
Baptist Health Medical Center-little Rock	Little rock, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Arkansas Radiation Therapy Institute Inc	7810068400	79

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. Diane Davenport Wilder allows following entities to bill medicare on her behalf.

Entity Name	Central Arkansas Radiation Therapy Institute Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508147810 PECOS PAC ID: 7810068400 Enrollment ID: O20111019000931

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. Diane Davenport Wilder 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
Diane Davenport Wilder, MD Po Box 55050, Little Rock, AR 72215-5050 Ph: (501) 219-8777	Diane Davenport Wilder, MD 8901 Carti Way, Little Rock, AR 72205-6523 Ph: (501) 219-8777

Reviews and Comments

Internal Medicine Doctors in Little Rock, AR

Lonnie E Harrison, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 7 Shackleford West Blvd, Little Rock, AR 72211 Phone: 501-664-5860 Fax: 501-664-0889
Muthu Veera Kumaran, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 556, Little Rock, AR 72205 Phone: 501-686-6033 Fax: 501-686-8932
Tanvi Harishbhai Patel, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 508, Little Rock, AR 72205 Phone: 501-686-7105 Fax: 501-526-5906
Gaurav Dhar, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000
Anthony R Giglia Iii, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 5800 W 10th St, Ste 610 Freeway Medical Center, Little Rock, AR 72204 Phone: 501-661-9393 Fax: 501-663-4795
Brian Bean, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: #2 St Vincent Circle, Little Rock, AR 72205 Phone: 501-552-3592 Fax: 501-552-4129
Joseph Wayne Forney Sr., M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 7 Shackleford West Blvd, Little Rock, AR 72211 Phone: 501-614-3606 Fax: 501-663-5017

Diane Davenport Wilder, MD - Medicare Medical Oncology in Little Rock, AR