MR. WILDON MELLINGER ROUSE NPI 1003873845

NPI Details

MR. Wildon Mellinger Rouse is a physician assistant in La Grange, TX with 27 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. MR. Wildon Mellinger Rouse NPI is 1003873845. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1253 N VON MINDEN ST
LA GRANGE, TX
ZIP 78945-262
Phone: (979) 968-8493
Fax: (979) 968-6388

The NPI 1003873845 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
• Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
• Annual depression screening, 15 minutes (HCPCS:G0444)
• Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
• Advance care planning, first 30 minutes (HCPCS:99497)
• Injection of drug or substance under skin or into muscle (HCPCS:96372)
• Automated urinalysis test (HCPCS:81003)
• Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
• Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
• Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
• Removal of impacted ear wax (HCPCS:69210)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)

The enumeration date for this NPI number is 4/26/2006 and was last updated on 12/4/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.