Individual
DR. JOHN ELGIN WILKAITIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,M.B.A., M.S.
Contact information
Practice address
4500 INTERSTATE 55 FRONTAGE ROAD N, SUITE 234, JACKSON, MS 39211-5931
(601) 982-8531
(888) 735-7202
Mailing address
70 GRANDVIEW CIR, BRANDON, MS 39047-7398
(601) 829-4170
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
17435
MS
2084P0800X
Psychiatry Physician
2005021711
MO
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
17435
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
BLUE CROSS
MS
05
—
03932074
—
MS
05
—
207430414
—
MO
Enumeration date
06/06/2006
Last updated
07/23/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us