| Dr Justin Dean Wilson, MD | |
|
9980 Park Meadows Dr Ste 200, Lone Tree, CO 80124-8406 | |
| (303) 744-1961 | |
| (303) 744-1154 |
| Full Name | Dr Justin Dean Wilson |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 9980 Park Meadows Dr Ste 200, Lone Tree, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467791392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 0071454 (Colorado) | Primary |
| Entity Name | Associates Of Otolaryngology, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518184399 PECOS PAC ID: 1557258340 Enrollment ID: O20040304000733 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Justin Dean Wilson, MD 850 E Harvard Ave Ste 505, Denver, CO 80210-5078 Ph: (303) 744-1961 | Dr Justin Dean Wilson, MD 9980 Park Meadows Dr Ste 200, Lone Tree, CO 80124-8406 Ph: (303) 744-1961 |
Dr. Phillip Blaine Whiting, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 10099 Ridgegate Pkwy, Conifer Building, Suite 230, Lone Tree, CO 80124 Phone: 303-706-1616 Fax: 303-706-0151 | |
Dr. Stephen Weber, MD, FACS Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 9695 S Yosemite St, Suite 359, Lone Tree, CO 80124 Phone: 303-792-2224 Fax: 888-378-4980 | |
Timothy Frederick Pingree, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 10099 Ridgegate Pkwy, Suite 230, Lone Tree, CO 80124 Phone: 303-706-1616 Fax: 303-706-0177 | |
Dr. Henry Patrick Carr, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 10099 Ridgegate Pkwy, Suite 230, Lone Tree, CO 80124 Phone: 303-706-1616 Fax: 303-706-0151 | |
Clark William Walker, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 10099 Ridgegate Pkwy, Suite 230, Lone Tree, CO 80124 Phone: 303-706-1616 Fax: 303-706-0177 | |
Pratima Agarwal, Otolaryngology Medicare: Medicare Enrolled Practice Location: 9980 Park Meadows Dr Ste 200, Lone Tree, CO 80124 Phone: 303-744-1961 |