| Olusegun Wilde, MD | |
|
1600 Wallace Blvd, Amarillo, TX 79106-1799 | |
| (505) 894-2111 | |
| (505) 894-7659 |
| Full Name | Olusegun Wilde |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 31 Years |
| Location | 1600 Wallace Blvd, Amarillo, Texas |
| 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 |
|---|---|---|---|
| 1467416727 | NPI | - | NPPES |
| 187155001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | M3792 (Texas) | Primary |
| 207Q00000X | Family Medicine | 20050127 (New Mexico) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ut Health East Texas Athens Hospital | Athens, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Acs Primary Care Physicians Southwest Pa | 1850204363 | 188 |
| Entity Name | Acs Primary Care Physicians Southwest PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538101019 PECOS PAC ID: 1850204363 Enrollment ID: O20041206000027 |
| Entity Name | Wise Emergency Medicine Associates PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366558264 PECOS PAC ID: 2769449727 Enrollment ID: O20041213000078 |
| Entity Name | Swiftcare Urgent Care, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578917340 PECOS PAC ID: 5294021762 Enrollment ID: O20160908002753 |
| Mailing Address | Practice Location Address |
|---|---|
| Olusegun Wilde, MD Po Box 840186, Dallas, TX 75284-0186 Ph: (866) 916-5259 | Olusegun Wilde, MD 1600 Wallace Blvd, Amarillo, TX 79106-1799 Ph: (505) 894-2111 |
Joseph D Hollingsworth, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Wallace Blvd, Baptist Saint Anthony's Hospital, Amarillo, TX 79106 Phone: 806-212-2000 |
Dr. Mark Christopher Drew, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 S Coulter St, Amarillo, TX 79106 Phone: 806-212-4700 Fax: 806-212-4730 |
Christopher M Bradburry, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1501 S Coulter St, Amarillo, TX 79106 Phone: 806-354-1000 |
Lance Martin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7561 Outlook Dr, Amarillo, TX 79106 Phone: 806-359-4701 |
Matthew W Turney, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2101 S Coulter St, Amarillo, TX 79106 Phone: 806-350-7744 Fax: 806-350-7776 |
Aiman Shokr, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7130 Bell Street, Amarillo, TX 79109 Phone: 806-373-4010 Fax: 806-331-6373 |
Darrell I Morgan, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3440 Bell St, Suite 320, #186, Amarillo, TX 79109 Phone: 806-322-3230 |