Dr Brian John Wilder, MD | |
1000 Blythe Blvd, Charlotte, NC 28203-5812 | |
(704) 355-2372 | |
(704) 355-6692 |
Full Name | Dr Brian John Wilder |
---|---|
Gender | Male |
Speciality | Anesthesiology - Pain Medicine |
Location | 1000 Blythe Blvd, Charlotte, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831187392 | NPI | - | NPPES |
TL5107 | Other | SC | MEDICAID |
8987398 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 32068 (North Carolina) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | 32068 (North Carolina) | Primary |
Entity Name | Southeast Anesthesiology Consultants Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538124201 PECOS PAC ID: 7719959873 Enrollment ID: O20081119000183 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian John Wilder, MD Po Box 36351, Southeast Anesthesiology Consultants Pa, Charlotte, NC 28236-6351 Ph: (704) 377-5772 | Dr Brian John Wilder, MD 1000 Blythe Blvd, Charlotte, NC 28203-5812 Ph: (704) 355-2372 |
Michael J Mcnelis, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 200 Providence Rd, Suite 101, Charlotte, NC 28207 Phone: 704-749-5800 Fax: 704-749-5819 | |
Dr. Bernard Velardo, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 | |
Dr. Richard Ralph Pagano, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10628 Park Rd, Charlotte, NC 28210 Phone: 704-667-1000 | |
Dr. Kevin Todd Cortese, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 | |
Stephanie Francis Newby, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 501 Billingsley Rd, Ste B, Charlotte, NC 28211 Phone: 704-444-2400 | |
Kelly Comolli Wilson, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 3735 Glenlake Dr Ste 250, Charlotte, NC 28208 Phone: 704-749-5800 | |
Norman A Holmes, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 200 Providence Rd, Suite 101, Charlotte, NC 28207 Phone: 704-749-5800 Fax: 704-749-5819 |