| Dr Tihesha L Wilson, MD | |
|
3641 S Miami Ave, Suite 331, Miami, FL 33133-4205 | |
| (305) 285-5040 | |
| (305) 285-5039 |
| Full Name | Dr Tihesha L Wilson |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 3641 S Miami Ave, Miami, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013997162 | NPI | - | NPPES |
| 1942236 | Other | AETNA PPO | |
| 767420679A | Medicaid | GA | |
| 7224577 | Other | AETNA HMO | |
| 4153308 | Medicaid | MD | |
| K313BR94043801 | Other | CAREFIRST MARYLAND | |
| 58860013 | Other | CAREFIRST BLE CHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 054703 (Georgia) | Secondary |
| 208600000X | Surgery | D0067673 (Maryland) | Primary |
| Entity Name | Valley Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467815928 PECOS PAC ID: 3577857333 Enrollment ID: O20160802002824 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tihesha L Wilson, MD 3641 S Miami Ave, Suite 331, Miami, FL 33133-4205 Ph: (305) 285-5040 | Dr Tihesha L Wilson, MD 3641 S Miami Ave, Suite 331, Miami, FL 33133-4205 Ph: (305) 285-5040 |
Dr. Gladys Linda Giron, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8900 N Kendall Dr, Miami, FL 33176 Phone: 786-596-2000 | |
Dr. Ricardo Emmanuel Rendel, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1611 Nw 12th Ave, Miami, FL 33136 Phone: 305-585-1280 | |
Dr. Alan S Serure, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7300 S.w. 62 Place, Suite 200, Miami, FL 33143 Phone: 305-669-0184 Fax: 305-669-0720 | |
Dr. Ascension M Torres, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 11760 Sw 40th St, Suite 722, Miami, FL 33175 Phone: 305-559-1883 Fax: 305-559-1887 | |
Dr. Geoffrey David Young, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8900 N. Kendall Dr, Miami Cancer Institute, Miami, FL 33176 Phone: 786-596-2000 Fax: 305-279-7778 | |
Henri Ronald Ford, MD Surgery Medicare: Medicare Enrolled Practice Location: 1611 Nw 12th Ave, Miami, FL 33136 Phone: 305-585-5437 |