| Dr William Pd Wilson Iii, MD | |
|
2860 Channing Way, Suite 112, Idaho Falls, ID 83404-7531 | |
| (208) 524-4381 | |
| (208) 523-6477 |
| Full Name | Dr William Pd Wilson Iii |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 43 Years |
| Location | 2860 Channing Way, Idaho Falls, Idaho |
| 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 |
|---|---|---|---|
| 1447368758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | M-5527 (Idaho) | Primary |
| 2082S0105X | Plastic Surgery - Surgery Of The Hand | M-5527 (Idaho) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
| Entity Name | William Wilson, Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457732000 PECOS PAC ID: 3274844428 Enrollment ID: O20150615002676 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William Pd Wilson Iii, MD 2860 Channing Way, Suite 112, Idaho Falls, ID 83404-7531 Ph: (208) 524-4381 | Dr William Pd Wilson Iii, MD 2860 Channing Way, Suite 112, Idaho Falls, ID 83404-7531 Ph: (208) 524-4381 |
Dr. Jhade Woodall, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3200 Channing Way Ste 206, Idaho Falls, ID 83404 Phone: 208-529-2230 Fax: 208-453-6142 | |
Nicholas Bradford Johnson, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3200 Channing Way Ste 206, Idaho Falls, ID 83404 Phone: 208-529-2230 Fax: 208-453-6142 |