Dr Mark Wilson, MD | |
1415 Tulane Ave, New Orleans, LA 70112-2600 | |
(504) 988-2300 | |
(504) 988-3969 |
Full Name | Dr Mark Wilson |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1415 Tulane Ave, New Orleans, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629132246 | NPI | - | NPPES |
1425184 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 13693R (Louisiana) | Primary |
Entity Name | East Louisiana State Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043206543 PECOS PAC ID: 6002853835 Enrollment ID: O20050413000902 |
Mailing Address | Practice Location Address |
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Dr Mark Wilson, MD 1430 Tulane Ave, Tw22, New Orleans, LA 70112-2632 Ph: (504) 988-2300 | Dr Mark Wilson, MD 1415 Tulane Ave, New Orleans, LA 70112-2600 Ph: (504) 988-2300 |
Korak Sarkar, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2820 Napoleon Ave Ste 810, New Orleans, LA 70115 Phone: 504-894-2395 | |
Dr. Maurice David Gelder, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5323 Coliseum Street, New Orleans, LA 70115 Phone: 504-899-4160 | |
Abdul Hafeez Khan, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 719 Elysian Fields Ave, New Orleans, LA 70117 Phone: 504-942-8101 Fax: 504-942-8242 | |
Dr. Lucido Luciano Ponce Mejia, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2020 Gravier St Fl 7, New Orleans, LA 70112 Phone: 504-568-6120 Fax: 504-568-6127 | |
Jennifer Velander, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1542 Tulane Avenue, 2nd Floor, New Orleans, LA 70112 Phone: 504-568-6004 | |
Dr. Joshua Sanderson, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1750 St. Charles Ave., Suite 609, New Orleans, LA 70130 Phone: 504-232-1087 | |
Christopher Owen Edwards, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-3980 |