Edward Wrenn Wooten, MD - Medicare Diagnostic Radiology in Fayetteville, AR

Edward Wrenn Wooten, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fayetteville, Arkansas. He went to Vanderbilt University School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Texas Radiology Associates Llp, Medical Associates Of Northwest Arkansas, Pa and his current practice location is 3344 N Futrall Dr, Fayetteville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 443-5316.

Edward Wrenn Wooten is licensed to practice in Texas (license number L4179) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1144217373.

Contact Information

Edward Wrenn Wooten, MD
3344 N Futrall Dr,
Fayetteville, AR 72703-4057
(479) 443-5316
Not Available



Physician's Profile

Full NameEdward Wrenn Wooten
GenderMale
SpecialityDiagnostic Radiology
Experience27 Years
Location3344 N Futrall Dr, Fayetteville, Arkansas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Edward Wrenn Wooten attended and graduated from Vanderbilt University School Of Medicine in 1997
  NPI Data:
  • NPI Number: 1144217373
  • Provider Enumeration Date: 10/03/2005
  • Last Update Date: 09/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7416027107
  • Enrollment ID: I20080606000609

Medical Identifiers

Medical identifiers for Edward Wrenn Wooten such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144217373NPI-NPPES
149763001MedicaidAR
8K6572OtherTXMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology E3681 (Arkansas)Secondary
2085R0202XRadiology - Diagnostic Radiology L4179 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Medical City PlanoPlano, TXHospital
Medical Center Of MckinneyMckinney, TXHospital
Medical City LewisvilleLewisville, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Texas Radiology Associates Llp3779578000145
Medical Associates Of Northwest Arkansas, Pa367854207398

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Edward Wrenn Wooten allows following entities to bill medicare on his behalf.
Entity NameUtmb Faculty Group Practice
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942241146
PECOS PAC ID: 3375456734
Enrollment ID: O20031112000438

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Entity NameTexas Radiology Associates Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427016161
PECOS PAC ID: 3779578000
Enrollment ID: O20040422001470

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Entity NameNorth Star Mri Of Frisco Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649356759
PECOS PAC ID: 2769574854
Enrollment ID: O20070821000328

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Entity NameNorth Star Diagnostic Imaging, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467787739
PECOS PAC ID: 8729118021
Enrollment ID: O20100614000182

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Entity NameNorth Star Mri Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033174701
PECOS PAC ID: 5890762330
Enrollment ID: O20110524000030

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Entity NameNorth Star Mcd, Llc
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Entity IdentifiersNPI Number: 1063712461
PECOS PAC ID: 2668659434
Enrollment ID: O20110602000702

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Entity NameNorth Star Fm Lp
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PECOS PAC ID: 1153591763
Enrollment ID: O20110908001884

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Entity NameNorth Star Plano Parkway Lp
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Entity IdentifiersNPI Number: 1740601863
PECOS PAC ID: 0244456002
Enrollment ID: O20140731000606

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Entity NameNorth Star Cn Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013305945
PECOS PAC ID: 0547589376
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Entity NameNorth Star Fp Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033630835
PECOS PAC ID: 6800168576
Enrollment ID: O20170816002017

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Entity NameNorth Star Gv Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922512664
PECOS PAC ID: 0648539023
Enrollment ID: O20180110000546

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edward Wrenn Wooten is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Edward Wrenn Wooten, MD
Po Box 1523,
Fayetteville, AR 72702-1523

Ph: (479) 571-6038
Edward Wrenn Wooten, MD
3344 N Futrall Dr,
Fayetteville, AR 72703-4057

Ph: (479) 443-5316

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› Verified 3 days ago


Radiology Doctors in Fayetteville, AR

Dr. Fredrik J Balldin, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3215 N. North Hills Blvd, Fayetteville, AR 72703
Phone: 479-463-7102    Fax: 479-463-7864
Jarret Sanders, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703
Phone: 479-968-7930    Fax: 479-968-4331
Dr. Theodore N. Hronas, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703
Phone: 479-521-8200    Fax: 479-582-7310
Dr. Whitney Sipe, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 55 W Sunbridge Dr, Fayetteville, AR 72703
Phone: 479-442-6266    Fax: 479-521-3877
Dr. Vanessa Hardin Branch, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703
Phone: 479-443-5316    Fax: 479-582-7389
Dr. Christopher M Mcclinton, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 60 E Monte Painter Dr, Fayetteville, AR 72703
Phone: 479-695-4234    

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