Walter L Wynne, MD | |
2131 W 3rd St, St Vincent Medical Center, Los Angeles, CA 90057-1901 | |
(310) 874-0623 | |
Not Available |
Full Name | Walter L Wynne |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 39 Years |
Location | 2131 W 3rd St, Los Angeles, California |
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 |
---|---|---|---|
1396797817 | NPI | - | NPPES |
A043607 | Other | CA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | A043607 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fairchild Medical Center | Yreka, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Siskiyou Hospital Inc | 1254223134 | 53 |
Entity Name | Siskiyou Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093892275 PECOS PAC ID: 1254223134 Enrollment ID: O20040927000311 |
Entity Name | Glenn Medical Center, Inc |
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Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1336187178 PECOS PAC ID: 3870505035 Enrollment ID: O20070705000269 |
Mailing Address | Practice Location Address |
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Walter L Wynne, MD 201 Wilshire Blvd, Ste A26, Santa Monica, CA 90401-1212 Ph: (310) 874-0623 | Walter L Wynne, MD 2131 W 3rd St, St Vincent Medical Center, Los Angeles, CA 90057-1901 Ph: (310) 874-0623 |
Dr. Hong Thi Thanh Dang, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4733 W Sunset Blvd Fl 3, Kaiser Permanente Southern California, Los Angeles, CA 90027 Phone: 323-783-4516 | |
Dr. Wesley Liwei Miao, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1520 San Pablo St, Suite 1000, Los Angeles, CA 90033 Phone: 323-442-5100 | |
Dr. Thomas Carroll Kingsley, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 757 Westwood Plz Ste 7501, Los Angeles, CA 90095 Phone: 310-267-9643 | |
Katherine Frishe, Hospitalist Medicare: Medicare Enrolled Practice Location: 2051 Marengo St, Los Angeles, CA 90033 Phone: 323-409-5507 | |
Kevin Matthew Keller, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 757 Westwood Plz Ste 7501, Los Angeles, CA 90095 Phone: 310-267-9643 | |
Dr. Jessica Kaltman, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 757 Westwood Plz Ste 7501, Los Angeles, CA 90095 Phone: 310-825-7375 | |
Christian Benedict Cruz Fagel, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 757 Westwood Plz, Los Angeles, CA 90095 Phone: 102-679-6433 Fax: 310-267-3840 |