| Dr Benjamin Wade Wilkerson, MD | |
|
15837 Paul Vega Md Dr, Hammond, LA 70403-1495 | |
| (985) 543-6079 | |
| (985) 350-9950 |
| Full Name | Dr Benjamin Wade Wilkerson |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 20 Years |
| Location | 15837 Paul Vega Md Dr, Hammond, 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 |
|---|---|---|---|
| 1184833188 | NPI | - | NPPES |
| 03070723 | Medicaid | MS | |
| 2153498 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 204533 (Louisiana) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 20280 (Mississippi) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Healthcare Memphis Hospitals | Memphis, TN | Hospital |
| Methodist Healthcare - Olive Branch Hospital | Olive branch, MS | Hospital |
| Hardin Medical Center | Savannah, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memphis Radiological Pc | 1557333226 | 48 |
| Memphis Radiological Pc | 1557333226 | 48 |
| Entity Name | Memphis Radiological Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639172851 PECOS PAC ID: 1557333226 Enrollment ID: O20040812000211 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin Wade Wilkerson, MD Po Box 2277, Hammond, LA 70404-2277 Ph: (985) 543-6079 | Dr Benjamin Wade Wilkerson, MD 15837 Paul Vega Md Dr, Hammond, LA 70403-1495 Ph: (985) 543-6079 |
Dr. John Pitts Miller, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Dr, Radiology, Hammond, LA 70403 Phone: 985-230-6700 Fax: 985-230-1528 | |
Dr. Sean Michael Gipson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Dr, Hammond, LA 70403 Phone: 985-230-1101 | |
Matthew Peralta, ARDMS Radiology Medicare: Not Enrolled in Medicare Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-705-4475 | |
Mrs. Tyare Standberry, RDMS RVT Radiology Medicare: Not Enrolled in Medicare Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-345-2700 | |
Dr. Stephen M Williams, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 15790 Paul Vega Md Dr, Department Of Radiology, Hammond, LA 70403 Phone: 985-230-6700 Fax: 985-230-1528 | |
Noah Mcgill, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Drive, Radiology, Hammond, LA 70403 Phone: 985-345-2700 Fax: 985-230-1528 |