| Dr Corey Stephen Wilson, MD | |
|
10905 Providence Rd W, Ste G200, Charlotte, NC 28277-1538 | |
| (980) 488-4900 | |
| (980) 488-4905 |
| Full Name | Dr Corey Stephen Wilson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 13 Years |
| Location | 10905 Providence Rd W, Ste G200, Charlotte, North Carolina |
| 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 |
|---|---|---|---|
| 1063859361 | NPI | - | NPPES |
| 017818500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 2024-00423 (North Carolina) | Primary |
| 207Q00000X | Family Medicine | ME127654 (Florida) | Secondary |
| Entity Name | Southeastern Hospitalist Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003280108 PECOS PAC ID: 3476855420 Enrollment ID: O20160125000378 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Corey Stephen Wilson, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (980) 488-4900 | Dr Corey Stephen Wilson, MD 10905 Providence Rd W, Ste G200, Charlotte, NC 28277-1538 Ph: (980) 488-4900 |
Katherine Michelle Mattingly, PA Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 8201 Healthcare Loop Ste 305, Charlotte, NC 28215 Phone: 980-302-3050 Fax: 980-302-3055 | |
Shakuntala Mathapati, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-0720 | |
Nicole A. Cagle Richardson, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840 | |
David Jerret Pubantz, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 4501 Cameron Valley Pkwy, Ste 200-b, Charlotte, NC 28211 Phone: 704-381-0500 | |
Joshua Lee Eichenberger, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-0720 | |
Stefanie Rose Reed, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840 | |
Jasdip G. Bajaj, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 8800 N Tryon St, Charlotte, NC 28262 Phone: 704-863-6241 |