W Mitchell Wilder, MD | |
503 Mcmillan Rd, Radiology Department, West Monroe, LA 71291-5327 | |
(318) 388-2646 | |
(318) 388-2843 |
Full Name | W Mitchell Wilder |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 38 Years |
Location | 503 Mcmillan Rd, West Monroe, Louisiana |
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 |
---|---|---|---|
1730120312 | NPI | - | NPPES |
1915785 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD018998 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Glenwood Regional Medical Center | West monroe, LA | Hospital |
Minden Medical Center | Minden, LA | Hospital |
Northern Louisiana Medical Center | Ruston, LA | Hospital |
Savoy Medical Center | Mamou, LA | Hospital |
Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gastrointestinal Specialists A M C | 0547245086 | 30 |
Savoy Medical Management Group, Inc | 1557403953 | 24 |
Imaging Affiliates Of Baton Rouge, Ltd. | 2769461862 | 6 |
Radiology Consultants | 4587550496 | 4 |
Entity Name | Acadia-st. Landry Hospital Service District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518981968 PECOS PAC ID: 3476458092 Enrollment ID: O20031205000219 |
Entity Name | Franklin Parish Hospital Service District No1 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619143120 PECOS PAC ID: 7810893302 Enrollment ID: O20031208000235 |
Entity Name | Jackson Parish Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093793408 PECOS PAC ID: 9335048081 Enrollment ID: O20040102000169 |
Entity Name | Desoto Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467455154 PECOS PAC ID: 2163321829 Enrollment ID: O20040102000229 |
Entity Name | Caldwell Memorial Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023283793 PECOS PAC ID: 9638063944 Enrollment ID: O20040209000941 |
Entity Name | Radiology Consultants |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922044486 PECOS PAC ID: 4587550496 Enrollment ID: O20040226000867 |
Entity Name | Ward 3 4 & 10 Hospital Service District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124277728 PECOS PAC ID: 8123011137 Enrollment ID: O20040406000625 |
Entity Name | Gastrointestinal Specialists A M C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932171725 PECOS PAC ID: 0547245086 Enrollment ID: O20040621000387 |
Entity Name | Imaging Affiliates Of Baton Rouge, Ltd. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710093687 PECOS PAC ID: 2769461862 Enrollment ID: O20040714000164 |
Entity Name | Richland Parish Hospital Service District No 1-b |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255370144 PECOS PAC ID: 2163481599 Enrollment ID: O20041011000012 |
Entity Name | Concordia Parish Hospital Service District Number One |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952565335 PECOS PAC ID: 4587559935 Enrollment ID: O20041012000111 |
Entity Name | Northwest Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568556256 PECOS PAC ID: 1153349683 Enrollment ID: O20051103000506 |
Entity Name | Doctors Imaging Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538117239 PECOS PAC ID: 3274546817 Enrollment ID: O20060726000102 |
Entity Name | Allegiance Hospital Of Many,llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568626273 PECOS PAC ID: 3274607551 Enrollment ID: O20080924000306 |
Entity Name | Hawkeye Medical, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952630360 PECOS PAC ID: 9032254685 Enrollment ID: O20100306000295 |
Entity Name | Savoy Medical Management Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477882033 PECOS PAC ID: 1557403953 Enrollment ID: O20100427000030 |
Entity Name | Clhg-avoyelles Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639618853 PECOS PAC ID: 8921380528 Enrollment ID: O20180828001494 |
Entity Name | Clhg-oakdale Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063111920 PECOS PAC ID: 1355623943 Enrollment ID: O20181116002285 |
Entity Name | Clhg-ville Platte Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285811927 PECOS PAC ID: 4486903309 Enrollment ID: O20200401000467 |
Entity Name | Salient Radiology Associates, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205230133 PECOS PAC ID: 7810210895 Enrollment ID: O20200416000326 |
Entity Name | Clhg-acadian Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942977657 PECOS PAC ID: 0840521209 Enrollment ID: O20220308002570 |
Mailing Address | Practice Location Address |
---|---|
W Mitchell Wilder, MD Po Box 1339, West Monroe, LA 71294-1339 Ph: (318) 388-2646 | W Mitchell Wilder, MD 503 Mcmillan Rd, Radiology Department, West Monroe, LA 71291-5327 Ph: (318) 388-2646 |
Warren J Green, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 503 Mcmillan Rd, West Monroe, LA 71291 Phone: 318-388-2646 Fax: 318-388-2843 | |
Thomas G. Block Iii, DO Radiology Medicare: Medicare Enrolled Practice Location: 503 Mcmillan Rd, West Monroe, LA 71291 Phone: 318-329-4200 | |
John A Braud, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 503 Mcmillan Rd, West Monroe, LA 71291 Phone: 318-388-2646 Fax: 318-388-2843 | |
Scott T Boyette, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 503 Mcmillan Rd, West Monroe, LA 71291 Phone: 318-325-3838 | |
Michael O Broyles, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 503 Mcmillan Rd, West Monroe, LA 71291 Phone: 318-325-3838 | |
Dr. Christopher Joseph Erikson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 503 Mcmillan Rd, West Monroe, LA 71291 Phone: 318-388-2646 Fax: 318-388-2843 |