| Dr Wilder Rucker, MD | |
|
3601 Sw 160th Ave Ste 250, Miramar, FL 33027-6314 | |
| (877) 866-7123 | |
| Not Available |
| Full Name | Dr Wilder Rucker |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 3601 Sw 160th Ave Ste 250, Miramar, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235403742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 264414 (New York) | Secondary |
| 208600000X | Surgery | 264414 (New York) | Secondary |
| 208D00000X | General Practice | 000-26-4414 (New York) | Primary |
| Entity Name | Empire Wound Physician Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093130742 PECOS PAC ID: 6406170497 Enrollment ID: O20150122001257 |
| Entity Name | Pons Physician Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457732554 PECOS PAC ID: 9931416187 Enrollment ID: O20150921001165 |
| Entity Name | Renew Medical Of New York Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356979447 PECOS PAC ID: 7416387014 Enrollment ID: O20200422003016 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Wilder Rucker, MD 1276 Dekalb Ave # 4a, Brooklyn, NY 11221-3204 Ph: (718) 490-0738 | Dr Wilder Rucker, MD 3601 Sw 160th Ave Ste 250, Miramar, FL 33027-6314 Ph: (877) 866-7123 |
Heather Stewart, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 3601 Sw 160th Ave Ste 250, Miramar, FL 33027 Phone: 954-399-4673 | |
Aimee Gonzalez, MD General Practice Medicare: Medicare Enrolled Practice Location: 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027 Phone: 877-866-7123 Fax: 855-855-2792 | |
Faisal Amin, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027 Phone: 877-866-7123 | |
Csaba Mihaly, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027 Phone: 877-866-7123 | |
Sergio Balcazar, MD General Practice Medicare: Medicare Enrolled Practice Location: 5062 Sw 139 Terr, Miramar, FL 33027 Phone: 954-494-0391 | |
Gary Dean Myers, General Practice Medicare: Medicare Enrolled Practice Location: 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027 Phone: 877-866-7123 | |
Dayneris Martinez, NP-C General Practice Medicare: Not Enrolled in Medicare Practice Location: 12254 Sw 27th St # 1302, Miramar, FL 33025 Phone: 786-556-0260 |