| Dr Brian G Wilson, MD | |
|
123 W Germantown Pike, Suite 2, East Norriton, PA 19401-1382 | |
| (610) 278-7456 | |
| (610) 278-7457 |
| Full Name | Dr Brian G Wilson |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 123 W Germantown Pike, East Norriton, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174537765 | NPI | - | NPPES |
| 19007660001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MD067812L (Pennsylvania) | Primary |
| Entity Name | Anestiplus, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194770487 PECOS PAC ID: 7214975937 Enrollment ID: O20050421001412 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian G Wilson, MD 87 Longleaf Ct, Collegeville, PA 19426-2885 Ph: (610) 489-6019 | Dr Brian G Wilson, MD 123 W Germantown Pike, Suite 2, East Norriton, PA 19401-1382 Ph: (610) 278-7456 |
Shilpa N Chouhan, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 559 W Germantown Pike, East Norriton, PA 19403 Phone: 484-622-1248 Fax: 484-622-1269 | |
Dr. Roderick Eugene Brown, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 123 W Germantown Pike, Suite 2, East Norriton, PA 19401 Phone: 610-278-7455 Fax: 610-278-7457 | |
Christopher J Wong, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 559 W Germantown Pike, East Norriton, PA 19403 Phone: 484-622-1244 Fax: 484-622-1542 | |
Elizabeth Theresa Wolo, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 559 W Germantown Pike, East Norriton, PA 19403 Phone: 484-622-1248 Fax: 484-622-1269 | |
Dr. Lynne Marie Debrakeleer, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 123 W Germantown Pike, Suite 2, East Norriton, PA 19401 Phone: 610-278-7456 Fax: 610-278-7457 | |
Glenn R Cohen, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 123 W Germantown Pike, Suite 2, East Norriton, PA 19401 Phone: 610-278-7456 Fax: 610-278-7457 |