| Wesley Warren Ludwig, MD | |
|
145 Riverstone Ter Ste 101, Canton, GA 30114-5327 | |
| (770) 720-7246 | |
| Not Available |
| Full Name | Wesley Warren Ludwig |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 12 Years |
| Location | 145 Riverstone Ter Ste 101, Canton, Georgia |
| 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 |
|---|---|---|---|
| 1447592902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 81803 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital Cherokee | Canton, GA | Hospital |
| Northside Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Georgia Urology, Pa | 8921094376 | 88 |
| Urological Professional Services, Llc | 9638391717 | 62 |
| Entity Name | Georgia Urology, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245250646 PECOS PAC ID: 8921094376 Enrollment ID: O20040422000123 |
| Entity Name | Urological Professional Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033521810 PECOS PAC ID: 9638391717 Enrollment ID: O20141104002579 |
| Mailing Address | Practice Location Address |
|---|---|
| Wesley Warren Ludwig, MD 1930 Brannan Rd, Mcdonough, GA 30253-4310 Ph: (678) 284-4686 | Wesley Warren Ludwig, MD 145 Riverstone Ter Ste 101, Canton, GA 30114-5327 Ph: (770) 720-7246 |
Mr. Ethan Jacob Wajswol, MD (5/18/2020) Urology Medicare: Accepting Medicare Assignments Practice Location: 470 Northside Cherokee Blvd Ste 201, Canton, GA 30115 Phone: 770-720-7246 Fax: 770-720-4620 | |
Mr. Vincent Daniel Dicarlo, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 470 Northside Cherokee Blvd Ste 201, Canton, GA 30115 Phone: 770-720-7246 Fax: 770-720-4620 | |
Carl C Capelouto, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 470 Northside Cherokee Blvd Ste 201, Canton, GA 30115 Phone: 770-720-7246 Fax: 770-720-4620 | |
Dr. Yasin Bhanji, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 470 Northside Cherokee Blvd Ste 201, Canton, GA 30115 Phone: 770-720-7246 Fax: 770-720-4620 |