| Mark Matthew Wilson, MD | |
|
1337 Centre Ct, Alexandria, LA 71301 | |
| (318) 445-9331 | |
| (318) 619-6899 |
| Full Name | Mark Matthew Wilson |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 39 Years |
| Location | 1337 Centre Ct, Alexandria, Louisiana |
| 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 |
|---|---|---|---|
| 1295728087 | NPI | - | NPPES |
| 1934780 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 019488 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fmcna - Alexandria | Alexandria, LA | Dialysis facility |
| Fmcna - Bunkie | Bunkie, LA | Dialysis facility |
| Fkc - Central Louisiana | Alexandria, LA | Dialysis facility |
| Christus St Frances Cabrini Hospital | Alexandria, LA | Hospital |
| Rapides Regional Medical Center | Alexandria, LA | Hospital |
| Hardtner Medical Center | Olla, LA | Hospital |
| Avoyelles Hospital | Marksville, LA | Hospital |
| Byrd Regional Hospital | Leesville, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cenla Kidney Specialists Llc | 0042543035 | 5 |
| Entity Name | Lasalle Parish Hospital Service District #1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184815466 PECOS PAC ID: 6709781545 Enrollment ID: O20040408000438 |
| Entity Name | Cenla Kidney Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114489929 PECOS PAC ID: 0042543035 Enrollment ID: O20190606000393 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Matthew Wilson, MD 1337 Centre Ct, Alexandria, LA 71301-3405 Ph: (318) 445-9331 | Mark Matthew Wilson, MD 1337 Centre Ct, Alexandria, LA 71301 Ph: (318) 445-9331 |
Dr. Bruce W Barton, MD Nephrology Medicare: Medicare Enrolled Practice Location: 201 4th St Ste 3d, Alexandria, LA 71301 Phone: 318-473-9701 Fax: 318-473-9705 | |
Dr. Hafez Halawani, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3330 Masonic Dr, Alexandria, LA 71301 Phone: 318-448-6917 Fax: 318-448-6866 | |
Dr. Arun K Karsan, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 201 4th St, Suite 2d, Alexandria, LA 71301 Phone: 318-442-7867 Fax: 318-442-3015 | |
Robert J Richards, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 211 4th St Ste 3f, Alexandria, LA 71301 Phone: 318-625-4149 Fax: 877-525-2516 | |
Dr. Kelly Ryder, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3330 Masonic Dr, Alexandria, LA 71301 Phone: 318-320-4422 | |
Dr. Vikram Singh Nijjar, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2108 Texas Ave, Suite 2061, Alexandria, LA 71301 Phone: 318-448-1041 Fax: 318-448-0895 | |
Dr. Naseem A Jaffrani, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 501 Medical Center Dr, Suite 250, Alexandria, LA 71301 Phone: 318-473-4613 Fax: 318-445-7129 |