Dr Jeffrey W Wilder, MD | |
7985 S Mackinaw Trl, Cadillac, MI 49601-8111 | |
(231) 876-7200 | |
Not Available |
Full Name | Dr Jeffrey W Wilder |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 7985 S Mackinaw Trl, Cadillac, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164490611 | NPI | - | NPPES |
160B41011 | Other | MI | BCBS MI |
4197610 | Medicaid | MI | |
160055213 | Other | MI | RR MEDICARE |
383445481 | Other | MI | TAX ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 65787 (Minnesota) | Secondary |
207V00000X | Obstetrics & Gynecology | 4301067907 (Michigan) | Primary |
Entity Name | Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235160532 PECOS PAC ID: 8527976497 Enrollment ID: O20040122000907 |
Entity Name | Dickinson County Healthcare System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891751186 PECOS PAC ID: 6800784943 Enrollment ID: O20040310000583 |
Entity Name | Munson Healthcare Cadillac |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336539063 PECOS PAC ID: 6305161514 Enrollment ID: O20150401000808 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey W Wilder, MD 1105 Sixth St, Traverse City, MI 49684-2345 Ph: (231) 876-7200 | Dr Jeffrey W Wilder, MD 7985 S Mackinaw Trl, Cadillac, MI 49601-8111 Ph: (231) 876-7200 |
Dr. William M Long, D.O. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 7800 Us 131 S, Suite C, Cadillac, MI 49601 Phone: 231-779-1167 Fax: 231-779-1175 | |
Dr. John F Itnyre, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 7800 Us 131 S, Suite C, Cadillac, MI 49601 Phone: 231-779-1167 Fax: 231-779-1175 | |
Makenzie Tremp, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 7985 S Mackinaw Trl, Cadillac, MI 49601 Phone: 231-876-6100 |