Peter F Wisniewski I, DO | |
518 West Dr, Okolona, MS 38860-1624 | |
(662) 447-1339 | |
(662) 447-1386 |
Full Name | Peter F Wisniewski I |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 47 Years |
Location | 518 West Dr, Okolona, Mississippi |
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 |
---|---|---|---|
1548231269 | NPI | - | NPPES |
07728748 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 08960 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
West Carroll Memorial Hospital | Oak grove, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West Carroll Health Systems, Llc | 5294627774 | 9 |
Entity Name | West Carroll Health Systems, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386700888 PECOS PAC ID: 5294627774 Enrollment ID: O20040402000229 |
Entity Name | West Carroll Health Systems, Llc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1255455390 PECOS PAC ID: 5294627774 Enrollment ID: O20230605001961 |
Entity Name | West Carroll Health Systems, Llc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1306843826 PECOS PAC ID: 5294627774 Enrollment ID: O20230609000635 |
Mailing Address | Practice Location Address |
---|---|
Peter F Wisniewski I, DO 518 West Dr, Okolona, MS 38860-1624 Ph: (662) 447-1339 | Peter F Wisniewski I, DO 518 West Dr, Okolona, MS 38860-1624 Ph: (662) 447-1339 |
Donald Smith, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 119 Robertson St, Okolona, MS 38860 Phone: 662-447-3882 Fax: 662-447-2265 | |
Joseph Jackson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 119 Robertson St, Okolona, MS 38860 Phone: 662-447-3882 Fax: 662-447-2265 |