Dr Mark David Wild, MD | |
2728 Sunset Blvd Ste 201, West Columbia, SC 29169-4837 | |
(803) 254-1300 | |
(803) 771-7597 |
Full Name | Dr Mark David Wild |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 27 Years |
Location | 2728 Sunset Blvd Ste 201, West Columbia, South Carolina |
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 |
---|---|---|---|
1891759916 | NPI | - | NPPES |
204674 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 20467 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lexington Medical Center | West columbia, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lexington Health Inc | 2567872070 | 767 |
Entity Name | Prisma Health-midlands |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205889458 PECOS PAC ID: 6800708330 Enrollment ID: O20031110000506 |
Entity Name | Prisma Health Medical Group-midlands |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226 |
Entity Name | Lexington Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710634753 PECOS PAC ID: 2567872070 Enrollment ID: O20201208000922 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark David Wild, MD Po Box 743904, Atlanta, GA 30374-3904 Ph: (803) 296-7320 | Dr Mark David Wild, MD 2728 Sunset Blvd Ste 201, West Columbia, SC 29169-4837 Ph: (803) 254-1300 |
Mark Hedrick Salley, M.D, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2728 Sunset Blvd Ste 201, West Columbia, SC 29169 Phone: 803-254-1300 Fax: 803-771-7597 | |
Monique Mckiever, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 222 E Medical Ln Ste 300, West Columbia, SC 29169 Phone: 803-739-3570 Fax: 803-739-3575 | |
Dr. Rebecca Brazell Ridenhour, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2728 Sunset Blvd Ste 201, West Columbia, SC 29169 Phone: 803-254-1300 Fax: 803-771-7579 | |
Lisa M Cookingham, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2324 Sunset Blvd, West Columbia, SC 29169 Phone: 803-726-3600 Fax: 803-929-0504 | |
Dr. Karenne Nstang Fru, M.D, PHD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2324 Sunset Blvd, West Columbia, SC 29169 Phone: 803-726-3600 Fax: 803-929-0504 | |
Dr. Edward Davis Tarnawa, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2324 Sunset Blvd, West Columbia, SC 29169 Phone: 803-726-3600 Fax: 803-929-0504 | |
Dr. Janice Lynne Bacon, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 222 E Medical Ln Ste 300, West Columbia, SC 29169 Phone: 803-936-8100 Fax: 803-936-8130 |