| Dr Alan Kirk Wilson, MD | |
|
778 Scogin Dr Ste 140, Monticello, AR 71655-5729 | |
| (870) 460-3515 | |
| (870) 460-3529 |
| Full Name | Dr Alan Kirk Wilson |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 36 Years |
| Location | 778 Scogin Dr Ste 140, Monticello, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477541563 | NPI | - | NPPES |
| 5K637 | Other | AR | BCBS |
| 132894001 | Medicaid | AR | |
| 180320000 | Other | AR | QUALCHOICE |
| 020036876 | Other | AR | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | E1594 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Drew Memorial Hospital | Monticello, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arkansas Health Group | 7911802079 | 579 |
| Entity Name | Arkansas Health Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598031882 PECOS PAC ID: 7911802079 Enrollment ID: O20120611000172 |
| Entity Name | Drew Professional Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841548427 PECOS PAC ID: 7214187640 Enrollment ID: O20121022000130 |
| Entity Name | Drew Surgical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700287885 PECOS PAC ID: 0042526394 Enrollment ID: O20150901001017 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alan Kirk Wilson, MD 11001 Executive Center Dr Ste 200, Little Rock, AR 72211-4393 Ph: (870) 460-3515 | Dr Alan Kirk Wilson, MD 778 Scogin Dr Ste 140, Monticello, AR 71655-5729 Ph: (870) 460-3515 |
Dr. Jason E Gault, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 778 Scogin Dr Ste 140, Monticello, AR 71655 Phone: 870-460-3515 Fax: 870-460-3529 |