| Dr Michael Grant Wilson, MD, MBA | |
|
77 Nelson St, Auburn, NY 13021-1944 | |
| (315) 255-7011 | |
| Not Available |
| Full Name | Dr Michael Grant Wilson |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 77 Nelson St, Auburn, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861567661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 263199 (New York) | Primary |
| Entity Name | Auburn Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093712911 PECOS PAC ID: 2365346525 Enrollment ID: O20031120000617 |
| Entity Name | Auburn Memorial Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194913749 PECOS PAC ID: 6406931385 Enrollment ID: O20080318000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Grant Wilson, MD, MBA 16 Brentwood Dr. Suite A, Cayuga Medical Associates, Ithaca, NY 14850 Ph: (607) 272-7000 | Dr Michael Grant Wilson, MD, MBA 77 Nelson St, Auburn, NY 13021-1944 Ph: (315) 255-7011 |
Dr. John Erasmus Klibanoff, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 77 Nelson St, Ste 120, Auburn, NY 13021 Phone: 315-252-7559 Fax: 315-253-8104 | |
Dr. Daniel Alexander, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 77 Nelson St, Suite 120, Auburn, NY 13021 Phone: 315-252-7559 Fax: 315-253-8104 | |
Frederick Kaempffe Iv, MD FAAOS FACS Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 77 Nelson St, Suite #120, Auburn, NY 13021 Phone: 315-252-7559 Fax: 315-253-8104 | |
Dr. Ronald Dethomas, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 77 Nelson St, Suite 120, Auburn, NY 13021 Phone: 315-252-7559 Fax: 315-253-8104 | |
Dr. Christopher Wang, D.O Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 77 Nelson Street, Suite 120/130, Auburn, NY 13021 Phone: 315-252-7559 | |
Jonathan Michael Sorensen, PA-C Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 17 Lansing St, Auburn, NY 13021 Phone: 315-253-1838 | |
Kathi Farfaglia Teixeira, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 77 Nelson St, Suite 120, Auburn, NY 13021 Phone: 315-252-7559 Fax: 315-258-8104 |