| Dr Lisa Ann Wilson, MD | |
|
3500 W Purdue Ave, Muncie, IN 47304-6357 | |
| (765) 747-6090 | |
| (765) 747-5069 |
| Full Name | Dr Lisa Ann Wilson |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 31 Years |
| Location | 3500 W Purdue Ave, Muncie, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336223833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 01044182 (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Dermatology Center Pc | 5496706210 | 11 |
| University Dermatology Center Pc | 5496706210 | 11 |
| Entity Name | University Dermatology Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578615266 PECOS PAC ID: 5496706210 Enrollment ID: O20050616000779 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa Ann Wilson, MD 3500 W Purdue Ave, Muncie, IN 47304-6357 Ph: (765) 747-6090 | Dr Lisa Ann Wilson, MD 3500 W Purdue Ave, Muncie, IN 47304-6357 Ph: (765) 747-6090 |
Brett Austin, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2401 W University Ave, Muncie, IN 47303 Phone: 765-741-1095 | |
Michael K Crider, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3310 W Purdue Avenue, Muncie, IN 47304 Phone: 765-281-1400 Fax: 765-282-2133 | |
Dr. Stephan Robert Sawicki, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1808 W Royale Dr, Muncie, IN 47304 Phone: 765-288-8188 Fax: 765-282-7242 | |
Steve George Bekas, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 401 W Mcgalliard Rd, Muncie, IN 47303 Phone: 765-288-6200 Fax: 765-288-4131 | |
Deborah Sue Kuhlman, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 401 W Mcgalliard Rd, Muncie, IN 47303 Phone: 765-288-6200 Fax: 765-288-4131 | |
Dr. Charles William Bartholome, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1808 W Royale Dr, Muncie, IN 47304 Phone: 765-288-8188 Fax: 765-282-7242 |