Dr Benjamin Wade Wilkerson, MD | |
15837 Paul Vega Md Dr, Hammond, LA 70403-1495 | |
(985) 543-6079 | |
(985) 350-9950 |
Full Name | Dr Benjamin Wade Wilkerson |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 19 Years |
Location | 15837 Paul Vega Md Dr, Hammond, Louisiana |
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 |
---|---|---|---|
1184833188 | NPI | - | NPPES |
03070723 | Medicaid | MS | |
2153498 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 204533 (Louisiana) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 20280 (Mississippi) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Healthcare Memphis Hospitals | Memphis, TN | Hospital |
Methodist Healthcare - Olive Branch Hospital | Olive branch, MS | Hospital |
Hardin Medical Center | Savannah, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memphis Radiological Pc | 1557333226 | 51 |
Memphis Radiological Pc | 1557333226 | 51 |
Entity Name | Memphis Radiological Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639172851 PECOS PAC ID: 1557333226 Enrollment ID: O20040812000211 |
Mailing Address | Practice Location Address |
---|---|
Dr Benjamin Wade Wilkerson, MD Po Box 2277, Hammond, LA 70404-2277 Ph: (985) 543-6079 | Dr Benjamin Wade Wilkerson, MD 15837 Paul Vega Md Dr, Hammond, LA 70403-1495 Ph: (985) 543-6079 |
Dr. John Pitts Miller, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Dr, Radiology, Hammond, LA 70403 Phone: 985-230-6700 Fax: 985-230-1528 | |
Dr. Sean Michael Gipson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Dr, Hammond, LA 70403 Phone: 985-230-1101 | |
Matthew Peralta, ARDMS Radiology Medicare: Not Enrolled in Medicare Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-705-4475 | |
Mrs. Tyare Standberry, RDMS RVT Radiology Medicare: Not Enrolled in Medicare Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-345-2700 | |
Dr. Stephen M Williams, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 15790 Paul Vega Md Dr, Department Of Radiology, Hammond, LA 70403 Phone: 985-230-6700 Fax: 985-230-1528 | |
Noah Mcgill, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Drive, Radiology, Hammond, LA 70403 Phone: 985-345-2700 Fax: 985-230-1528 |