| Dr Edith Diane Wilson, MD | |
|
615 Lilly Rd Ne Ste 175, Olympia, WA 98506-5179 | |
| (360) 486-6772 | |
| (360) 486-6775 |
| Full Name | Dr Edith Diane Wilson |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Experience | 40 Years |
| Location | 615 Lilly Rd Ne Ste 175, Olympia, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972602969 | NPI | - | NPPES |
| 110601500 | Medicaid | WY | |
| W9209 | Other | CLINIC MCAR # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 5500A (Wyoming) | Primary |
| 208800000X | Urology | 36402 (Colorado) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Denver Health & Hospital Authority | Denver, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Denver Health And Hospital Authority | 4688583578 | 718 |
| Entity Name | Denver Health And Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477569838 PECOS PAC ID: 4688583578 Enrollment ID: O20031105000211 |
| Entity Name | Catholic Health Initiatives Colorado |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edith Diane Wilson, MD 615 Lilly Rd Ne Ste 175, Olympia, WA 98506-5179 Ph: (360) 486-6772 | Dr Edith Diane Wilson, MD 615 Lilly Rd Ne Ste 175, Olympia, WA 98506-5179 Ph: (360) 486-6772 |
Dr. Daniel Mark Brown, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 402 Black Hills Ln Sw, Suite A, Olympia, WA 98502 Phone: 360-943-9400 Fax: 360-956-3475 | |
Simon P Zadina, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 703 Lilly Rd Ne, Suite 106, Olympia, WA 98506 Phone: 360-350-0281 Fax: 360-918-8280 | |
Dr. Pierre Dominique Mechali, M.D. Urology Medicare: Medicare Enrolled Practice Location: 149 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-486-6772 Fax: 360-455-7405 | |
Patrick William Murray, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 149 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-486-6772 Fax: 360-455-7405 | |
Dr. Richard Nathaniel Greene Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 149 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-486-6772 | |
Dr. David M Ward, M.D Urology Medicare: Accepting Medicare Assignments Practice Location: 149 Lilly Rd Ne, Pmg Sw Wa Olympia Urology, Olympia, WA 98506 Phone: 360-486-6772 | |
Dr. Mark S Peckler, M.D. Urology Medicare: Medicare Enrolled Practice Location: 3525 Ensign Rd., Suite A, Olympia, WA 98505 Phone: 360-456-4666 Fax: 360-459-1566 |