Wanda M Northam is a Texarkana, Texas based female Ophthalmologist with 37 years of experience in Ophthalmology. She completed her graduation from University Of Texas Medical School At San Antonio in 1987. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Wanda M Northam is J0619 for Ophthalmology in Texas. Wanda M Northam is medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
Wanda M Northam speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4688764285
Enrollment ID:
I20091228000458
NPI Number:
1780684183
NPI Enumeration Date:
28 Jul, 2005
NPI Last Update On:
31 Dec, 2020
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wanda M Northam are as mentioned below.
License Number
Specialization
State
Status
J0619
Ophthalmology
Texas
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Wanda M Northam has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Charles E Lyon, Md, Apmc (1850370099)
4
Other Medical Identifiers:
Other legacy medical identifiers associated with Wanda M Northam such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
119308001
Medicaid
Arkansas
047789501
Medicaid
Texas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5002 Cowhorn Creek Rd, Texarkana, Texas
Zip:
75503-9766
Phone Number:
318-222-8421
Fax Number:
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Patients can reach Wanda M Northam at 4800 Texas Blvd Ste 100, Texarkana, Texas or can call to book an appointment on 318-222-8421. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.