| John D Wylie, MD, PHD | |
|
2301 Erwin Rd, Durham, NC 27705-4699 | |
| (919) 684-8111 | |
| Not Available |
| Full Name | John D Wylie |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 20 Years |
| Location | 2301 Erwin Rd, Durham, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457561912 | NPI | - | NPPES |
| NC1532 | Medicaid | SC | |
| 5919470 | Medicaid | NC | |
| H214822 | Other | OH | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD34584 (South Carolina) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 2010-00700 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Duke University Hospital | Durham, NC | Hospital |
| Duke Regional Hospital | Durham, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Duke Health Integrated Practice Inc | 8325412737 | 3085 |
| Entity Name | Wooster Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033135009 PECOS PAC ID: 6800708124 Enrollment ID: O20031211000578 |
| Entity Name | Clinic Medical Services Company |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528013984 PECOS PAC ID: 5698674653 Enrollment ID: O20040108000271 |
| Entity Name | Allegiance Imaging And Radiology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902346422 PECOS PAC ID: 3577838689 Enrollment ID: O20180413001608 |
| Mailing Address | Practice Location Address |
|---|---|
| John D Wylie, MD, PHD Po Box 63362, Charlotte, NC 28263-3362 Ph: () - | John D Wylie, MD, PHD 2301 Erwin Rd, Durham, NC 27705-4699 Ph: (919) 684-8111 |
Mary Margaret Woodruff, Radiology Medicare: Accepting Medicare Assignments Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-684-6111 | |
Dr. Roger L Cothran Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4101 N Roxboro St, Durham, NC 27704 Phone: 919-684-8111 | |
Zachary Angel, Radiology Medicare: May Accept Medicare Assignments Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-684-8111 | |
Jacob Alexander Latreille, Radiology Medicare: Medicare Enrolled Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-684-8111 | |
Mark Shuo Chen, MD, PHD Radiology Medicare: Medicare Enrolled Practice Location: 20 Duke Medicine Cir, Durham, NC 27710 Phone: 919-660-2100 | |
Reginald R Pareja, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3022 Croasdaile Dr Ste 101, Durham, NC 27705 Phone: 877-780-5559 | |
Mamata Myneni, Radiology Medicare: Accepting Medicare Assignments Practice Location: 2100 Erwin Rd, Banner Good Samaritan Medical Center, Durham, NC 27705 Phone: 919-684-8111 |