Dr Kyle Edward Wilson, MD in Metairie, LA - Medicare Emergency Medicine

Dr Kyle Edward Wilson, MD is a medicare enrolled "Emergency Medicine" physician in Metairie, Louisiana. He graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice St Tammany Emergency Physicians Group Llc, East Jefferson Emergency Management Llc, Independence Emergency Group Llc and his current practice location is 4200 Houma Blvd, Metairie, Louisiana. You can reach out to his office (for appointments etc.) via phone at (504) 503-4377.

Dr Kyle Edward Wilson is licensed to practice in Louisiana (license number 340389) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265011134.

Contact Information

	Dr Kyle Edward Wilson, MD
	4200 Houma Blvd, Metairie, LA 70006-2970
	(504) 503-4377
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kyle Edward Wilson
Gender	Male
Speciality	Emergency Medicine
Experience	5 Years
Location	4200 Houma Blvd, Metairie, 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.

Medical Education and Training:

Dr Kyle Edward Wilson graduated from medical school in 2021

NPI Data:

NPI Number: 1265011134
Provider Enumeration Date: 04/06/2021
Last Update Date: 07/11/2026

Medicare PECOS Information:

PECOS PAC ID: 5193125896
Enrollment ID: I20240809001859

Medical Identifiers

Medical identifiers for Dr Kyle Edward Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265011134	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	340389 (Louisiana)	Primary
207P00000X	Emergency Medicine	01088212A (Indiana)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(Indiana)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Tammany Parish Hospital	Covington, LA	Hospital
Tulane Medical Center	New orleans, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Tammany Emergency Physicians Group Llc	7214255967	43
East Jefferson Emergency Management Llc	8325307937	13
Independence Emergency Group Llc	4284759325	21

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kyle Edward Wilson allows following entities to bill medicare on his behalf.

Entity Name	Independence Emergency Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528384773 PECOS PAC ID: 4284759325 Enrollment ID: O20100914000327

Entity Name	St Tammany Emergency Physicians Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891187654 PECOS PAC ID: 7214255967 Enrollment ID: O20150409001843

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kyle Edward Wilson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kyle Edward Wilson, MD 931 Emerald St, New Orleans, LA 70124-3522 Ph: (504) 377-7167	Dr Kyle Edward Wilson, MD 4200 Houma Blvd, Metairie, LA 70006-2970 Ph: (504) 503-4377

Reviews and Comments

Emergency Medicine Doctors in Metairie, LA

Mr. Travis William Hill, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4200 Houma Blvd, Metairie, LA 70006 Phone: 504-503-5684
Dr. Michael C Grieb, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4200 Houma Blvd, Emergency Room, Metairie, LA 70006 Phone: 210-614-0180 Fax: 210-566-5698
Theodore A. Irra, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3434 Houma Blvd, Suite 200, Metairie, LA 70006 Phone: 504-458-6061 Fax: 504-866-0206
Dr. David Henry Melton, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3131 North I-10 Service Road East, Suite 308, Metairie, LA 70002 Phone: 504-833-7770 Fax: 504-833-7796
Dr. Carl Zalokoski Mcallister, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4200 Houma Blvd, Emergency Department, Metairie, LA 70006 Phone: 504-454-4196
Dr. Cristobal Mandry, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3223 8th St, Metairie, LA 70002 Phone: 504-833-7770 Fax: 504-833-7782
Dr. Terry Creel, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4200 Houma Blvd, Emergency Department, Metairie, LA 70006 Phone: 210-614-0180 Fax: 210-566-5698

Dr Kyle Edward Wilson, MD - Medicare Emergency Medicine in Metairie, LA