Dr Wendell Hayden Wilmoth, MD - Medicare Radiology in Kodiak, AK

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Dr Wendell Hayden Wilmoth, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Kodiak, Alaska. His current practice location is 1915 E Rezanof Dr, Kodiak, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 486-9581.

Dr Wendell Hayden Wilmoth is licensed to practice in Alaska (license number 7852) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245499003.

Contact Information

Dr Wendell Hayden Wilmoth, MD
1915 E Rezanof Dr,
Kodiak, AK 99615-6602
(907) 486-9581
Not Available

Map and Direction




Physician's Profile

Full NameDr Wendell Hayden Wilmoth
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location1915 E Rezanof Dr, Kodiak, Alaska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245499003
  • Provider Enumeration Date: 06/06/2008
  • Last Update Date: 05/27/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8123258746
  • Enrollment ID: I20200212000187

Medical Identifiers

Medical identifiers for Dr Wendell Hayden Wilmoth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245499003NPI-NPPES
1585319MedicaidAK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 7852 (Alaska)Primary

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 Wendell Hayden Wilmoth allows following entities to bill medicare on his behalf.
Entity NameMiners' Colfax Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083931109
PECOS PAC ID: 5294647400
Enrollment ID: O20031105000106
Entity NameMiners' Colfax Medical Center
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1083931109
PECOS PAC ID: 5294647400
Enrollment ID: O20100514000911
Entity NameMiners' Colfax Medical Center
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1083931109
PECOS PAC ID: 5294647400
Enrollment ID: O20110317000764
Entity NameConcord Radiology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598260515
PECOS PAC ID: 8628332061
Enrollment ID: O20191002001421

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 Wendell Hayden Wilmoth 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 AddressPractice Location Address
Dr Wendell Hayden Wilmoth, MD
Po Box 10107,
Knoxville, TN 37939-0107

Ph: (865) 584-7376		Dr Wendell Hayden Wilmoth, MD
1915 E Rezanof Dr,
Kodiak, AK 99615-6602

Ph: (907) 486-9581

Reviews and Comments


Radiology Doctors in Kodiak, AK

Dr. Hans Ulrich Tschersich, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1915 East Rezanof Drive, Kodiak, AK 99615
Phone: 907-486-9521    Fax: 907-486-9523

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.