| Dr Brian Guy Wilson, MD | |
|
2619 Centennial Blvd Ste 103, Tallahassee, FL 32308-0590 | |
| (850) 656-7720 | |
| (850) 656-7729 |
| Full Name | Dr Brian Guy Wilson |
|---|---|
| Gender | Male |
| Speciality | Allergy/immunology |
| Experience | 27 Years |
| Location | 2619 Centennial Blvd Ste 103, Tallahassee, Florida |
| 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 |
|---|---|---|---|
| 1760433247 | NPI | - | NPPES |
| 2622203 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207KA0200X | Allergy & Immunology - Allergy | MD.15516R (Louisiana) | Primary |
| 207RA0201X | Internal Medicine - Allergy & Immunology | ME82516 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tallahassee Memorial Healthcare | Tallahassee, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tallahassee Allergy, Asthma And Immunology, Llc | 4880694470 | 2 |
| Entity Name | Tallahassee Allergy, Asthma & Immunology, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285648683 PECOS PAC ID: 4880694470 Enrollment ID: O20070104000392 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Guy Wilson, MD Po Box 13058, Tallahassee, FL 32317-3058 Ph: (850) 656-7720 | Dr Brian Guy Wilson, MD 2619 Centennial Blvd Ste 103, Tallahassee, FL 32308-0590 Ph: (850) 656-7720 |
Dr. Narlito V Cruz, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 2619 Centennial Blvd, 103, Tallahassee, FL 32308 Phone: 850-656-7720 Fax: 850-656-7729 | |
Ronald H Saff, MD Allergy & Immunology Medicare: May Accept Medicare Assignments Practice Location: 2300 Centerville Rd, Tallahassee, FL 32308 Phone: 850-386-6680 Fax: 850-386-7902 |