William H Wooten, MD | |
104 Mcauley Dr, Vicksburg, MS 39183-2825 | |
(601) 638-7271 | |
Not Available |
Full Name | William H Wooten |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 32 Years |
Location | 104 Mcauley Dr, Vicksburg, 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 |
---|---|---|---|
1770511420 | NPI | - | NPPES |
5389342 | Other | MS | AETNA |
00116922 | Medicaid | MS | |
1682811 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 13924 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mississippi Homecare Of Jackson | Jackson, MS | Home health agency |
St Dominic-jackson Memorial Hospital | Jackson, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St. Dominic Medical Associates Llc | 0446303168 | 156 |
Entity Name | Vicksburg Healthcare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629084058 PECOS PAC ID: 4688575129 Enrollment ID: O20040213000299 |
Entity Name | St. Dominic Medical Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407920549 PECOS PAC ID: 0446303168 Enrollment ID: O20090728000821 |
Entity Name | St. Dominic Hospital Medicine Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104362292 PECOS PAC ID: 5597034348 Enrollment ID: O20170711000091 |
Mailing Address | Practice Location Address |
---|---|
William H Wooten, MD Po Box 23666, Jackson, MS 39225-3666 Ph: (601) 200-4749 | William H Wooten, MD 104 Mcauley Dr, Vicksburg, MS 39183-2825 Ph: (601) 638-7271 |
Michael L Davis, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-630-9755 | |
Murray P Whitaker, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000 | |
Dr. Charles A. Marascalco, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-4373 Fax: 601-883-4309 | |
Dr. Raman Jeet Sohal, Internal Medicine Medicare: Medicare Enrolled Practice Location: 1202 Mission Park Dr, Vicksburg, MS 39180 Phone: 601-738-5549 | |
Dr. Karan Puri, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000 | |
Albert F Chiemprabha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1815 Mission 66, Vicksburg, MS 39180 Phone: 601-355-1234 Fax: 601-326-3559 | |
Dr. Karthik Yeruva, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5946 |