Active NPI
Daniel Wilkerson, MD
- Emergency Medicine Physician
- Fraser, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301076074
- Practice address
- 17717 Masonic
Fraser, MI 48026-3158 - Phone
- (586) 294-0600
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301076074 | MI | Primary |
Addresses
Primary practice location
17717 Masonic
Fraser, MI 48026-3158
Mailing address
17717 Masonic
Fraser, MI 48026-3158
Phone (586) 294-0600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Wayne State University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 S Dr
Mount Pleasant, MI 48858-3257
Phone (517) 975-6475
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301076074 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Medical Group | Current | Accepting new patients | |
| Degara App, PLLC | Emergency Medicine | Current | Accepting new patients |
| Memorial Hospital | Current | Accepting new patients | |
| McLaren Medical Group | Emergency Medicine | Current | Accepting new patients |
| McLaren Hospital Group | Emergency Medicine | Current | Accepting new patients |
| Memorial Hospital | Emergency Medicine | Current | Accepting new patients |
| Emergency Department Physicians, P.C. | Emergency Medicine | Current | Accepting new patients |
Locations
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
4100 S River Rd
East China, MI 48054
Phone (810) 329-6677
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
5979 Lakeshore Rd
Fort Gratiot, MI 48059
Phone (810) 385-6370
17717 Masonic
Fraser, MI 48026
Phone (586) 294-0600
401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286
1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500
1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531
1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700
826 W King St
Owosso, MI 48867
Phone (989) 720-2273
3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Lansing, MI
- NPI 1265976971
-
- Emergency Medicine Physician
- Detroit, MI
- NPI 1225083595
-
- Emergency Medicine Physician
- Flint, MI
- NPI 1942026174
-
- Diagnostic Radiology Physician
- Lapeer, MI
- NPI 1073650750
-
- Anesthesiology Physician
- Owosso, MI
- NPI 1659527737
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Mt Pleasant, MI
- NPI 1619941317
-
- General Acute Care Hospital
- Owosso, MI
- NPI 1063414233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266451200000",
"number": "1043259682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17717 MASONIC",
"city": "FRASER",
"state": "MI",
"postal_code": "480263158",
"telephone_number": "586-294-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17717 MASONIC",
"city": "FRASER",
"state": "MI",
"postal_code": "480263158",
"telephone_number": "586-294-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKERSON",
"first_name": "DANIEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2010-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301076074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fraser, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.