| Dr Stanley J Wilson, MD | |
|
3401 W 10th St, Sedalia, MO 65301-2112 | |
| (660) 827-2883 | |
| (660) 827-1359 |
| Full Name | Dr Stanley J Wilson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 49 Years |
| Location | 3401 W 10th St, Sedalia, Missouri |
| 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 |
|---|---|---|---|
| 1821055211 | NPI | - | NPPES |
| 201709516 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 36325 (Missouri) | Primary |
| 207P00000X | Emergency Medicine | 36325 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bothwell Regional Health Center | Sedalia, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bothwell Regional Health Center | 6103714126 | 106 |
| Entity Name | Bothwell Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235102690 PECOS PAC ID: 6103714126 Enrollment ID: O20040310000246 |
| Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20060711000434 |
| Entity Name | Camden Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003181637 PECOS PAC ID: 2961665369 Enrollment ID: O20120523000037 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stanley J Wilson, MD 5005 Dogwood Cir, Sedalia, MO 65301-8900 Ph: (660) 827-2883 | Dr Stanley J Wilson, MD 3401 W 10th St, Sedalia, MO 65301-2112 Ph: (660) 827-2883 |
Alexandra Rose Cooke, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3700 W 10th St Ste 100, Sedalia, MO 65301 Phone: 660-827-2883 | |
Brittany Rae Pendergraft, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3401 W 10th St, Sedalia, MO 65301 Phone: 660-827-2883 | |
Dr. Julie E Cahill, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3401 W 10th St, Sedalia, MO 65301 Phone: 660-827-2883 Fax: 660-827-1359 | |
Alyssa Marie Emery, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3401 W 10th St, Sedalia, MO 65301 Phone: 660-827-2883 Fax: 660-827-1359 | |
Abraham N Azan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 667 E 15th St, Sedalia, MO 65301 Phone: 660-827-2525 | |
Joy S. Gronstedt, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 700 S Hancock Ave, Sedalia, MO 65301 Phone: 660-827-4664 Fax: 660-827-4591 | |
Meredith Kathryn Norfleet, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3401 W 10th St, Sedalia, MO 65301 Phone: 660-827-2883 |