| Dr Keith A Wilson, MD | |
|
1075 W Western Reserve Rd, Poland, OH 44514-3541 | |
| (330) 884-6584 | |
| Not Available |
| Full Name | Dr Keith A Wilson |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 43 Years |
| Location | 1075 W Western Reserve Rd, Poland, Ohio |
| 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 |
|---|---|---|---|
| 1164424743 | NPI | - | NPPES |
| 0095849000 | Other | WV | MEDICAID |
| 180011155 | Other | OH | RAILROAD MEDICARE |
| 4096251 | Other | OH | AETNA |
| 0800328 | Other | OH | UNITED HEALTHCARE |
| 82799 | Other | OH | QUALCHOICE |
| Z52784 | Other | OH | SUMMACARE |
| 438220 | Other | OH | KEYSTONE |
| 000000126322 | Other | OH | ANTHEM |
| 0624695 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 35-052784 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| East Liverpool City Hospital | East liverpool, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eye Care Associates, Inc | 0042350118 | 13 |
| Entity Name | Center For Advanced Eye Surgery, Ltd |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1689657058 PECOS PAC ID: 0446204796 Enrollment ID: O20091215000142 |
| Entity Name | Eye Care Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447203088 PECOS PAC ID: 0042350118 Enrollment ID: O20091222000146 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Keith A Wilson, MD 10 Dutton Dr, Youngstown, OH 44502-1818 Ph: (330) 746-7691 | Dr Keith A Wilson, MD 1075 W Western Reserve Rd, Poland, OH 44514-3541 Ph: (330) 884-6584 |
Dr. Lyn E Yakubov, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1075 W Western Reserve Rd, Poland, OH 44514 Phone: 330-746-7691 | |
Dr. Sergul A Erzurum, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1075 W Western Reserve Rd, Poland, OH 44514 Phone: 330-746-7691 | |
Dr. John P Aey, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1075 W Western Reserve Rd, Poland, OH 44514 Phone: 330-746-7691 |