| Dr John David Wilson, MD | |
|
495 Sw Ramsey Ave, Grants Pass, OR 97527-5681 | |
| (541) 476-6644 | |
| Not Available |
| Full Name | Dr John David Wilson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 495 Sw Ramsey Ave, Grants Pass, Oregon |
| 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 |
|---|---|---|---|
| 1104071224 | NPI | - | NPPES |
| 500622415 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | MD37095 (Tennessee) | Secondary |
| 207Q00000X | Family Medicine | 150495 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Asante Three Rivers Medical Center | Grants pass, OR | Hospital |
| Asante Rogue Regional Medical Center | Medford, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grants Pass Clinic Llp | 9234123977 | 15 |
| Entity Name | Grants Pass Clinic Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760418032 PECOS PAC ID: 9234123977 Enrollment ID: O20040414000467 |
| Entity Name | Asante Three Rivers Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801891809 PECOS PAC ID: 9931197993 Enrollment ID: O20040506000367 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John David Wilson, MD 495 Sw Ramsey Ave, Grants Pass, OR 97527-5681 Ph: (541) 476-6644 | Dr John David Wilson, MD 495 Sw Ramsey Ave, Grants Pass, OR 97527-5681 Ph: (541) 476-6644 |
Dr. Amy Lynne Card, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 537 Union Ave Fl 1sr, Grants Pass, OR 97527 Phone: 541-507-2170 Fax: 541-507-2171 | |
Dr. Steven R Foutz, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 124b Nw Midland Ave, Grants Pass, OR 97526 Phone: 541-474-2944 | |
Dr. Hala Mohamed Aly Ahmed, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 125 Ne Manzanita Ave, Grants Pass, OR 97526 Phone: 541-471-3455 | |
Dr. Keaton James Fletcher, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1701 Nw Hawthorne Ave, Grants Pass, OR 97526 Phone: 541-472-4777 Fax: 541-471-1439 | |
Dr. Tamara Powell, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1690 Ne Lynda Ln, Grants Pass, OR 97526 Phone: 541-476-3000 Fax: 541-479-5101 | |
Dr. Lorene Hamilton, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1819 Nebraska Ave, Grants Pass, OR 97527 Phone: 541-956-8800 Fax: 541-956-9088 |