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

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Dr Wendell Hayden Wilmoth, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Kodiak, Alaska. He graduated from medical school in 2004 and has 21 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Garden State Healthcare Associates Llc, Family Practice Center Pc, Colonial Family Practice Llc, Millennium Physician Group Llc, Garden State Healthcare Associates Llc and 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 may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and 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
SpecialityDiagnostic Radiology
Experience21 Years
Location1915 E Rezanof Dr, Kodiak, Alaska
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Wendell Hayden Wilmoth graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1245499003
  • Provider Enumeration Date: 06/06/2008
  • Last Update Date: 10/14/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8123258746
  • Enrollment ID: I20220308002578

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

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Garden State Healthcare Associates Llc8426190687131
Family Practice Center Pc0244124212325
Colonial Family Practice Llc993101711860
Millennium Physician Group Llc9830244433866
Garden State Healthcare Associates Llc8426190687131

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 NameOptumcare New Mexico Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124053210
PECOS PAC ID: 9032125810
Enrollment ID: O20220304001221
Entity NameSouthwest Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659346005
PECOS PAC ID: 6103730544
Enrollment ID: O20221227002032
Entity NameGreater Phoenix Collaborative Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750686614
PECOS PAC ID: 0941503304
Enrollment ID: O20231102002935
Entity NameOptumcare Colorado Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407252828
PECOS PAC ID: 2769706431
Enrollment ID: O20231215002665
Entity NameGarden State Healthcare Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700014545
PECOS PAC ID: 8426190687
Enrollment ID: O20250305001834

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.