| Dr Jonathan Edward Wilson, DO | |
|
112 Nw Hackberry St, Lees Summit, MO 64064-1476 | |
| (816) 944-8464 | |
| Not Available |
| Full Name | Dr Jonathan Edward Wilson |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 21 Years |
| Location | 112 Nw Hackberry St, Lees Summit, Missouri |
| 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 |
|---|---|---|---|
| 1649479916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 2008006047 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Kansas City Hospital | North kansas city, MO | Hospital |
| Carroll County Memorial Hospital | Carrollton, MO | Hospital |
| New Liberty Hospital District | Liberty, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carroll County Memorial Hospital | 2860485638 | 65 |
| Midwest Aortic And Vascular Institute Pc | 7911919360 | 5 |
| Entity Name | Carroll County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528067113 PECOS PAC ID: 2860485638 Enrollment ID: O20040407000120 |
| Entity Name | Western Missouri Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083601330 PECOS PAC ID: 7416931506 Enrollment ID: O20040616000777 |
| Entity Name | Midwest Aortic & Vascular Institute Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164476339 PECOS PAC ID: 7911919360 Enrollment ID: O20060629000119 |
| Entity Name | Restore Muscle And Joint, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962767061 PECOS PAC ID: 9830346824 Enrollment ID: O20120827000438 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Edward Wilson, DO 112 Nw Hackberry St, Lees Summit, MO 64064-1476 Ph: () - | Dr Jonathan Edward Wilson, DO 112 Nw Hackberry St, Lees Summit, MO 64064-1476 Ph: (816) 944-8464 |
Sheliza Kabani, Surgery Medicare: Accepting Medicare Assignments Practice Location: 2100 Se Blue Pkwy, Lees Summit, MO 64063 Phone: 310-954-7874 | |
Dr. Austin J Wagner, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3600 Ne Ralph Powell Rd Ste D, Lees Summit, MO 64064 Phone: 816-675-0920 | |
Christopher Michael Daggett, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 3460 Ne Ralph Powell Rd, Lees Summit, MO 64064 Phone: 816-246-0800 Fax: 816-246-6613 | |
Christie Michelle Brock, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3460 Ne Ralph Powell Rd, Lees Summit, MO 64064 Phone: 816-246-0800 Fax: 816-246-6613 | |
Adam Paul Kramer, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3460 Ne Ralph Powell Rd, Lees Summit, MO 64064 Phone: 816-246-0800 Fax: 816-246-6613 | |
Adam Jay Swiger, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 2861 Ne Independence Ave Ste 205, Lees Summit, MO 64064 Phone: 816-246-0800 Fax: 816-246-6613 | |
Dr. David Rene Mantilla, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3600 Ne Ralph Powell Rd Ste D, Lees Summit, MO 64064 Phone: 816-675-0920 |