Richard Barry Wilder, MD | |
12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | |
(813) 745-1075 | |
(813) 745-7231 |
Full Name | Richard Barry Wilder |
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Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 12902 Usf Magnolia Dr, Tampa, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801948112 | NPI | - | NPPES |
P00796215 | Other | CA | RAILROAD MEDICARE |
00G709070 | Medicaid | CA | |
5780708 | Other | CA | AETNA PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | ME105988 (Florida) | Primary |
Entity Name | Ctca Physicians Group Of Georgia, Llc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447520333 PECOS PAC ID: 4880841212 Enrollment ID: O20120820001117 |
Mailing Address | Practice Location Address |
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Richard Barry Wilder, MD 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 Ph: (813) 745-1075 | Richard Barry Wilder, MD 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 Ph: (813) 745-1075 |
Mr. Niema Brandon Razavian, MD Radiology Medicare: Medicare Enrolled Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 888-663-3488 | |
Dr. Justin S. Lee, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2700 University Square Dr, Tampa, FL 33612 Phone: 813-253-2721 Fax: 813-254-4597 | |
Dr. Babu Zachariah, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-7667 Fax: 813-978-5805 | |
Dr. Robert Joseph Novaco, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 6001 Webb Rd, Tampa, FL 33615 Phone: 201-452-8794 | |
Robert Paul Ruvolo, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2137 West Martin Luther King Jr Blvd, Tampa, FL 33607 Phone: 941-349-3409 | |
Scott D Perrin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2700 University Square Dr, Tampa, FL 33612 Phone: 813-251-5822 | |
Sen Lu, M.D., M.P.H. Radiology Medicare: Medicare Enrolled Practice Location: 17 Davis Blvd, Suite 308, Tampa, FL 33606 Phone: 813-259-8515 |