| Ossian B Wynn, MD | |
|
117 E. Kings Highway, Eden, NC 27288-5201 | |
| (336) 623-9711 | |
| (336) 623-7660 |
| Full Name | Ossian B Wynn |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 46 Years |
| Location | 117 E. Kings Highway, Eden, 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 |
|---|---|---|---|
| 1891759171 | NPI | - | NPPES |
| 8907737 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 28450 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lasalle General Hospital | Jena, LA | Hospital |
| Glen Rose Medical Center | Glen rose, TX | Hospital |
| Allen Parish Hospital | Kinder, LA | Hospital |
| Faith Community Hospital | Jacksboro, TX | Hospital |
| Desoto Regional Health System | Mansfield, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oakdale Ess Llc | 7517289713 | 19 |
| Jena Ess Llc | 7810116258 | 8 |
| Emergency Staffing Solutions Inc | 9830001650 | 58 |
| Concord Medical Group Of Texas Pllc | 7810117223 | 238 |
| Entity Name | Emergency Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477590974 PECOS PAC ID: 9830001650 Enrollment ID: O20050610000177 |
| Entity Name | Jena Ess Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235544115 PECOS PAC ID: 7810116258 Enrollment ID: O20140916002675 |
| Entity Name | Jena Ess Hospitalist Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144635020 PECOS PAC ID: 5294954533 Enrollment ID: O20140918000317 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20140930001176 |
| Entity Name | Oakdale Ess Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750785119 PECOS PAC ID: 7517289713 Enrollment ID: O20141125000402 |
| Entity Name | South Central Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427611854 PECOS PAC ID: 6507195492 Enrollment ID: O20191022002061 |
| Entity Name | Ess Of Ferriday Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346900560 PECOS PAC ID: 2769876275 Enrollment ID: O20220228000365 |
| Mailing Address | Practice Location Address |
|---|---|
| Ossian B Wynn, MD 117 E. Kings Highway, Eden, NC 27288-5201 Ph: (336) 623-9711 | Ossian B Wynn, MD 117 E. Kings Highway, Eden, NC 27288-5201 Ph: (336) 623-9711 |
Dr. Gordon Frank Williams, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 W Kings Hwy, Eden, NC 27288 Phone: 336-623-5171 | |
Dr. Jason Shih-ning Yuan, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 117 E Kings Hwy, Eden, NC 27288 Phone: 336-623-9711 Fax: 336-326-7660 | |
Roy Robert Keys, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 117 E Kings Hwy, Eden, NC 27288 Phone: 663-623-9711 Fax: 336-623-7660 | |
Gary Thomas Mutch, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 117 E Kings Hwy, Eden, NC 27288 Phone: 336-623-9711 Fax: 336-623-7660 | |
Christopher John Pollina, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 117 E Kings Hwy, Eden, NC 27288 Phone: 336-623-9711 Fax: 336-623-7660 | |
Okafor Mang Lekwuwa, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 117 E Kings Hwy, Eden, NC 27288 Phone: 336-623-9711 Fax: 336-623-7660 |