| Dr Tyler Keith Wilson, DO | |
|
701 Med Tech Pkwy Ste 200, Johnson City, TN 37604-2371 | |
| (423) 302-3480 | |
| (423) 833-0639 |
| Full Name | Dr Tyler Keith Wilson |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 701 Med Tech Pkwy Ste 200, Johnson City, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659931475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 5746 (Tennessee) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | LL82221 (South Carolina) | Secondary |
| Entity Name | University Medical Associates Of The Medical University Of South Carol |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tyler Keith Wilson, DO 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 952-2111 | Dr Tyler Keith Wilson, DO 701 Med Tech Pkwy Ste 200, Johnson City, TN 37604-2371 Ph: (423) 302-3480 |
Jason Hayes, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 109 W Watauga Ave, Johnson City, TN 37604 Phone: 423-232-2600 | |
Dr. Zachary A. Hammons, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1018 Chase Dr, Johnson City, TN 37604 Phone: 423-282-3379 Fax: 423-430-6227 | |
Dr. Jeremiah L Marsh, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 325 N State Of Franklin Rd Fl 2, Johnson City, TN 37604 Phone: 423-439-7280 Fax: 423-439-7314 | |
Dr. Margaret Shippen Robbins, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 302 Sunset Dr, Suite 106, Johnson City, TN 37604 Phone: 423-434-7098 Fax: 423-434-7098 | |
Dr. Ali Al Garatli, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 109 West Watauga Avenue, Johnson City, TN 37605 Phone: 423-232-2600 Fax: 423-232-2646 | |
Zachary Pierson, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2 Professional Park Dr Ste 21, Johnson City, TN 37604 Phone: 423-379-8120 | |
Dr. Guyton Register, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2408 Susannah St, Johnson City, TN 37601 Phone: 423-928-2999 |