| Dr Kim A Wilson, MD | |
| 75 Bickford St, Martha Eliot Health Center, Jamaica Plain, MA 02130-1401 | |
| (617) 971-2312 | |
| Not Available | 
| Full Name | Dr Kim A Wilson | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 75 Bickford St, Jamaica Plain, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1124194006 | NPI | - | NPPES | 
| 3150620 | Medicaid | MA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 76388 (Massachusetts) | Primary | 
| Entity Name | Children's Hospital Pediatric Associates, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1457306664 PECOS PAC ID: 3476541830 Enrollment ID: O20040504000964 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Kim A Wilson, MD 63 Claypit Hill Rd, Wayland, MA 01778-2004 Ph: (508) 358-7841 | Dr Kim A Wilson, MD 75 Bickford St, Martha Eliot Health Center, Jamaica Plain, MA 02130-1401 Ph: (617) 971-2312 | 
| Dr. Staci R Eisenberg, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1153 Centre St, Jamaica Plain, MA 02130 Phone: 617-983-7025 | |
| Wanda Lopez-rodriguez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3297 Washington Street, Brookside Community Health Center, Jamaica Plain, MA 02130 Phone: 617-522-4700 | |
| Dr. Jessica R Roth, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 75 Bickford St, Jamaica Plain, MA 02130 Phone: 617-971-2100 | |
| Dr. Lauren Coogle, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 75 Bickford St, Jamaica Plain, MA 02130 Phone: 617-971-2100 | |
| Anne Margaret Welch-cameron, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3297 Washington St, Jamaica Plain, MA 02130 Phone: 617-522-4700 | |
| Nuria R Gine-nokes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3297 Washington Street, Brookside Community Health Center, Jamaica Plain, MA 02130 Phone: 617-522-4700 |