| 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 |
| Experience | 29 Years |
| Location | 7985 S Mackinaw Trl, Cadillac, Michigan |
| 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 |
|---|---|---|---|
| 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 |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Clinic Health System In Red Wing | Red wing, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayo Clinic Health System-southeast Minnesota Region | 4385556703 | 522 |
| Entity Name | Mayo Clinic Health System-southeast Minnesota Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891701637 PECOS PAC ID: 4385556703 Enrollment ID: O20031104000408 |
| Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578545422 PECOS PAC ID: 4688585771 Enrollment ID: O20031110000134 |
| Entity Name | Mayo Clinic Health System-fairmont |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366410862 PECOS PAC ID: 4981694981 Enrollment ID: O20040719000142 |
| Entity Name | Astera Health |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1477545333 PECOS PAC ID: 2961395272 Enrollment ID: O20060504000722 |
| 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: Accepting Medicare Assignments Practice Location: 7985 S Mackinaw Trl, Cadillac, MI 49601 Phone: 231-876-6100 |