| Ian Wilds, | |
|
6030 W Highway 74, Suite A, Indian Trail, NC 28079-3468 | |
| (704) 246-2777 | |
| Not Available |
| Full Name | Ian Wilds |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 22 Years |
| Location | 6030 W Highway 74, Indian Trail, North Carolina |
| 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 |
|---|---|---|---|
| 1972711562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 2010-01910 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carolinas Medical Center/behav Health | Charlotte, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carolinas Physicians Network Inc | 3375449655 | 2373 |
| Entity Name | Carolinas Physicians Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819 |
| Entity Name | Eastland Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467481127 PECOS PAC ID: 6305852591 Enrollment ID: O20060224000538 |
| Entity Name | Arboretum Urgent Care Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457380313 PECOS PAC ID: 8325059991 Enrollment ID: O20060510000344 |
| Entity Name | Steele Creek Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750317921 PECOS PAC ID: 9234130907 Enrollment ID: O20070123000481 |
| Mailing Address | Practice Location Address |
|---|---|
| Ian Wilds, 6030 W Highway 74, Indian Trail, NC 28079-3468 Ph: () - | Ian Wilds, 6030 W Highway 74, Suite A, Indian Trail, NC 28079-3468 Ph: (704) 246-2777 |
Thomas Snyder, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6030 W Highway 74, Ste A, Indian Trail, NC 28079 Phone: 704-246-2777 |