Dr Wilkins Dedwylder, MD is a
Family Medicine physician based in Leakesville, Mississippi. Dr Wilkins Dedwylder is licensed to practice in Mississippi (license number 08328) and his current practice location is 1017 Jackson Ave, Leakesville, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(601) 394-4135.
NPI number for Dr Wilkins Dedwylder is 1871630186 and his current mailing address is 2010 Paulding Rd, Leakesville, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871630186.
Physician's Profile
| Full Name | Dr Wilkins Dedwylder |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 1017 Jackson Ave, Leakesville, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1871630186
- Provider Enumeration Date: 01/30/2007
- Last Update Date: 02/16/2012
Medical Identifiers
Medical identifiers for Dr Wilkins Dedwylder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871630186 | NPI | - | NPPES |
| 01658391 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 08328 (Mississippi) | Secondary |
| 207Q00000X | Family Medicine | 08328 (Mississippi) | Primary |
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 Wilkins Dedwylder is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Wilkins Dedwylder, MD
2010 Paulding Rd,
Leakesville, MS 39451-3055
Ph: (601) 394-2975 | Dr Wilkins Dedwylder, MD
1017 Jackson Ave,
Leakesville, MS 39451-9105
Ph: (601) 394-4135 |
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