Johanna Moon Wilde, MD in New Orleans, LA - Medicare Emergency Medicine

Johanna Moon Wilde, MD is a medicare enrolled "Emergency Medicine" physician in New Orleans, Louisiana. Her current practice location is 727 1/2 Henry Clay Ave, New Orleans, Louisiana. You can reach out to her office (for appointments etc.) via phone at (985) 320-5467.

Johanna Moon Wilde is licensed to practice in Louisiana (license number MD.205810) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194045583.

Contact Information

	Johanna Moon Wilde, MD
	727 1/2 Henry Clay Ave, New Orleans, LA 70118-5819
	(985) 320-5467
	Not Available

Map and Direction

Physician's Profile

Full Name	Johanna Moon Wilde
Gender	Female
Speciality	Emergency Medicine
Location	727 1/2 Henry Clay Ave, New Orleans, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194045583
Provider Enumeration Date: 06/08/2010
Last Update Date: 07/02/2013

Medicare PECOS Information:

PECOS PAC ID: 3678719598
Enrollment ID: I20130422000058

Medical Identifiers

Medical identifiers for Johanna Moon Wilde such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194045583	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	MD.205810 (Louisiana)	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. Johanna Moon Wilde allows following entities to bill medicare on her behalf.

Entity Name	Foucher Emergency Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871879007 PECOS PAC ID: 8729254073 Enrollment ID: O20120109000197

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. Johanna Moon Wilde 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
Johanna Moon Wilde, MD 1401 Foucher St, New Orleans, LA 70115-3515 Ph: (504) 897-7011	Johanna Moon Wilde, MD 727 1/2 Henry Clay Ave, New Orleans, LA 70118-5819 Ph: (985) 320-5467

Reviews and Comments

Emergency Medicine Doctors in New Orleans, LA

Ms. Misty T Wetzel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 963 Taft Pl, New Orleans, LA 70119 Phone: 504-309-4246
Jasmine Sha'dey Holmes, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2000 Canal Street, D&t Bldg., 2nd Floor, Suite 2720, New Orleans, LA 70112 Phone: 504-702-2287 Fax: 504-702-2500
Dr. Susan Diane Taylor, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1401 Foucher St, New Orleans, LA 70115 Phone: 504-897-2850
Lisa Birdsall Fort, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-3460
Ms. Elizabeth Anne Clement, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2020 Gravier St, 7th Floor, New Orleans, LA 70112 Phone: 504-903-3594
Sarah Elizabeth Griffin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Canal St, New Orleans, LA 70112 Phone: 347-271-0784
Colin Devlin, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5022 Laurel St, New Orleans, LA 70115 Phone: 781-696-2226

Johanna Moon Wilde, MD - Medicare Emergency Medicine in New Orleans, LA