Gary M Wiltz, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

015340 Issued in LA

Practice address

1115 Weber St
Franklin, LA 70538-4124

Phone

(337) 828-2550

Fax

(337) 355-2335

NPI assigned

Jun 14, 2006

Last updated

Jun 17, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Tulane University School of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Teche Action Board IncGroup PAC ID 0648163980, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayou Bend Health System Hospital, Franklin, LA, CCN 191310

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 12

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 12

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Teche Action Board Inc

  dba Teche Health @ Morgan City

  • Federally Qualified Health Center (FQHC)
  • Morgan City, LA
  • NPI 1124307566

  Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Teche Action Board Inc

  dba Teche Health @ Franklin

  • Federally Qualified Health Center (FQHC)
  • Franklin, LA
  • NPI 1174579262

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• Teche Action Board Inc

  dba Teche Health @ Reserve

  • Federally Qualified Health Center (FQHC)
  • Reserve, LA
  • NPI 1386880433

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• Teche Action Board Inc

  dba Teche Health @ Pierre Part

  • Federally Qualified Health Center (FQHC)
  • Pierre Part, LA
  • NPI 1972746964

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• Teche Action Board, Inc.

  dba Teche Health @ Houma West

  • Federally Qualified Health Center (FQHC)
  • Houma, LA
  • NPI 1215974019

  Corporate Director, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Teche Action Board, Inc.

  dba Teche Health SBHC @ East St. John High

  • Federally Qualified Health Center (FQHC)
  • Reserve, LA
  • NPI 1255788428

  Corporate Director, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Teche Action Board, Inc.

  dba Teche Health @ Thibodaux

  • Federally Qualified Health Center (FQHC)
  • Thibodaux, LA
  • NPI 1356767420

  W-2 Managing Employee

  CMS ownership
• Teche Action Board, Inc.

  dba Teche Health @ ST. James High School

  • Federally Qualified Health Center (FQHC)
  • Vacherie, LA
  • NPI 1649914763

  Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Teche Action Board, Inc.

  dba Teche Health @ Houma East

  • Federally Qualified Health Center (FQHC)
  • Houma, LA
  • NPI 1659319135

  Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Teche Action Board, Inc.

  dba Teche Health @ Sugarland

  • Federally Qualified Health Center (FQHC)
  • Houma, LA
  • NPI 1770308736

  Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Teche Action Board, Inc.

  dba Teche Health @ Gramercy

  • Federally Qualified Health Center (FQHC)
  • Gramercy, LA
  • NPI 1801433883

  Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Teche Action Board, Inc.

  dba Teche Health SBHC @ West St. Mary H.S

  • Federally Qualified Health Center (FQHC)
  • Baldwin, LA
  • NPI 1902082811

  Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Teche Action Board Inc

  dba Teche Health @ Franklin

  • Federally Qualified Health Center (FQHC)
  • Franklin, LA
  • NPI 1174579262
  Medicare reassignment Care Compare group NPD Authorized official
• Teche Action Board, Inc.

  dba Teche Health @ Houma East

  • Federally Qualified Health Center (FQHC)
  • Houma, LA
  • NPI 1659319135
  NPD Authorized official
• Teche Action Board, Inc.

  dba Teche Health @ Sugarland

  • Federally Qualified Health Center (FQHC)
  • Houma, LA
  • NPI 1770308736
  NPD Authorized official
• Teche Action Board Inc

  dba Teche Health @ Morgan City

  • Federally Qualified Health Center (FQHC)
  • Morgan City, LA
  • NPI 1124307566
  NPD (past) Authorized official
• Teche Action Board Inc

  dba Teche Health @ Reserve

  • Federally Qualified Health Center (FQHC)
  • Reserve, LA
  • NPI 1386880433
  Authorized official Same address or phone
• Teche Action Board Inc

  dba Teche Health @ Pierre Part

  • Federally Qualified Health Center (FQHC)
  • Pierre Part, LA
  • NPI 1972746964
  Authorized official Same address or phone
• Teche Action Board, Inc.

  dba Teche Health @ Edgard

  • Federally Qualified Health Center (FQHC)
  • Edgard, LA
  • NPI 1154368553
  Authorized official Same address or phone
• Teche Action Board, Inc.

  dba Teche Action Clinic @ Galliano

  • Federally Qualified Health Center (FQHC)
  • Galliano, LA
  • NPI 1215354014
  Authorized official Same address or phone
• Teche Action Board, Inc.

  dba Teche Health @ Houma West

  • Federally Qualified Health Center (FQHC)
  • Houma, LA
  • NPI 1215974019
  NPD (past) Authorized official
• Teche Action Board, Inc.

  dba Teche Health SBHC @ East St. John High

  • Federally Qualified Health Center (FQHC)
  • Reserve, LA
  • NPI 1255788428
  Authorized official Same address or phone
• Teche Action Board, Inc.

  dba Teche Health @ Thibodaux

  • Federally Qualified Health Center (FQHC)
  • Thibodaux, LA
  • NPI 1356767420
  NPD (past) Authorized official
• Teche Action Board, Inc.

  dba Teche Action Clinic @ Morgan City

  • Clinic/Center
  • Morgan City, LA
  • NPI 1396121117
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Service District No. 1 of the Parish of St. Mary

  dba Bayou Bend Health System

  • Critical Access Hospital
  • Franklin, LA
  • NPI 1043218365
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1477596351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 WEBER ST",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705384124",
            "telephone_number": "337-828-2550",
            "fax_number": "337-355-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 WEBER ST",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705384124",
            "telephone_number": "337-828-2550",
            "fax_number": "337-355-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTZ",
        "first_name": "GARY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "015340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatinisha Washington
• Christopher Williams, FNP
• Brianna Mijay Wilson, PHARMD
• Ericka R Wilson
• Pamela A. Wilson
• Brennan Young, PT
• Gemma Yumul

• Internal Medicine Physician in Franklin, LA
• Providers in Franklin, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.