| Peter F Wisniewski I, DO | |
|
706 Ross St, Oak Grove, LA 71263-9798 | |
| (318) 428-3237 | |
| (318) 428-1362 |
| Full Name | Peter F Wisniewski I |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 49 Years |
| Location | 706 Ross St, Oak Grove, 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 |
|---|---|---|---|
| 1548231269 | NPI | - | NPPES |
| 1554189 | Medicaid | LA | |
| 07728748 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 323886 (Louisiana) | Secondary |
| 207Q00000X | Family Medicine | 08960 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Carroll Memorial Hospital | Oak grove, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Carroll Health Systems, Llc | 5294627774 | 21 |
| Entity Name | West Carroll Health Systems, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386700888 PECOS PAC ID: 5294627774 Enrollment ID: O20040402000229 |
| Entity Name | West Carroll Health Systems, LLC |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1255455390 PECOS PAC ID: 5294627774 Enrollment ID: O20230605001961 |
| Entity Name | West Carroll Health Systems, LLC |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1306843826 PECOS PAC ID: 5294627774 Enrollment ID: O20230609000635 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter F Wisniewski I, DO 706 Ross St, Oak Grove, LA 71263-9798 Ph: (318) 428-3237 | Peter F Wisniewski I, DO 706 Ross St, Oak Grove, LA 71263-9798 Ph: (318) 428-3237 |
Christopher Domingue, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 708 E Main St, Oak Grove, LA 71263 Phone: 318-428-3200 Fax: 318-428-7896 |
Eric Arbuckle, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 502 Ross St, Oak Grove, LA 71263 Phone: 318-428-2358 Fax: 318-428-2350 |
Mark Anthony Portacci, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 706 Ross Street, Oak Grove, LA 71263 Phone: 318-428-3237 Fax: 318-428-6180 |
Erin Newton, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 706 Ross St, Oak Grove, LA 71263 Phone: 318-428-6130 |
Noli Guinigundo, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 706 Ross St, Oak Grove, LA 71263 Phone: 318-428-3237 Fax: 318-428-6180 |