| Dr James Michael Wilson, MD, MPH | |
|
800 E Dawson St, Tyler, TX 75701-2036 | |
| (903) 525-1914 | |
| Not Available |
| Full Name | Dr James Michael Wilson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 19 Years |
| Location | 800 E Dawson St, Tyler, Texas |
| 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 |
|---|---|---|---|
| 1023269172 | NPI | - | NPPES |
| 75-2616977-028 | Other | TX | TRICARE |
| 8CS712 | Other | TX | BCBS |
| 8EY087 | Other | TX | BCBS |
| P01439634 | Other | TX | RAIL ROAD MEDICARE |
| 1G4019 | Other | TX | MEDICARE |
| 75-2616977-002 | Other | TX | TRICARE |
| 750818167044 | Other | TX | TRICARE |
| 280231602 | Medicaid | TX | |
| 750818167022 | Other | TX | TRICARE |
| 751976930005 | Other | TX | TRICARE -JACKSONVILLE |
| 8X8164 | Other | TX | BCBS |
| 75-0818167-048 | Other | TX | TRICARE |
| 280231601 | Medicaid | TX | |
| 75-0818167-015 | Other | TX | TRICARE |
| 75-2616977-001 | Other | TX | TRICARE |
| 8CT074 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 7150810-1205 (Utah) | Secondary |
| 207P00000X | Emergency Medicine | N8874 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Good Shepherd Medical Center | Longview, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Coverage Llc | 3072412592 | 764 |
| Northeast Texas Emergency Physicians Pllc | 8527420306 | 191 |
| Entity Name | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050418000414 |
| Entity Name | Emergency Medicine Services Of Va Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992402069 PECOS PAC ID: 6103291430 Enrollment ID: O20230418002343 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Michael Wilson, MD, MPH Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 606-6400 | Dr James Michael Wilson, MD, MPH 800 E Dawson St, Tyler, TX 75701-2036 Ph: (903) 525-1914 |
James Carr, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-606-4262 | |
Dr. Shawn D Pierce, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 833 S Beckham Ave, Tyler, TX 75701 Phone: 903-780-4396 | |
Dr. Dallas Wright, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-531-4262 Fax: 903-531-5097 | |
Everett Dean Holley, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-531-4262 | |
Dr. Jackie Rose, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-597-0351 Fax: 903-592-5282 | |
Steven W Cooley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 270 Saddle Creek Dr, Tyler, TX 75703 Phone: 903-574-4341 |