| Edward Wilson, MD | |
|
217 S 3rd St, Danville, KY 40422-1823 | |
| (859) 335-9041 | |
| (859) 335-9072 |
| Full Name | Edward Wilson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 35 Years |
| Location | 217 S 3rd St, Danville, Kentucky |
| 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 |
|---|---|---|---|
| 1760405419 | NPI | - | NPPES |
| 1141359 | Other | KY | PASSPORT |
| P002985345 | Other | KY | RR-MEDICARE |
| 000000208969 | Other | KY | ANTHEM |
| C48254 | Other | TN | CUMBERLAND |
| 64292089 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 29208 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Paul B Hall Regional Medical Center | Paintsville, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Combs Mountain Emergency Group, Llc | 9335579515 | 9 |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
| Entity Name | The Recovery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316332067 PECOS PAC ID: 7012285497 Enrollment ID: O20170608001733 |
| Entity Name | Concord Medical Group Of Kentucky Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346746385 PECOS PAC ID: 9133483894 Enrollment ID: O20180503002233 |
| Entity Name | Combs Mountain Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629603527 PECOS PAC ID: 9335579515 Enrollment ID: O20200501000614 |
| Entity Name | Breathitt Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841825767 PECOS PAC ID: 1759712904 Enrollment ID: O20200504001352 |
| Entity Name | Western Healthcare Services Kentucky Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770243842 PECOS PAC ID: 0941695936 Enrollment ID: O20220309001033 |
| Entity Name | Green Valley Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720755739 PECOS PAC ID: 4385035534 Enrollment ID: O20230926000510 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Wilson, MD Po Box 1650, Akron, OH 44309-1650 Ph: (330) 864-8900 | Edward Wilson, MD 217 S 3rd St, Danville, KY 40422-1823 Ph: (859) 335-9041 |
Andrew Hamon, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 217 S 3rd St, Danville, KY 40422 Phone: 859-335-9041 Fax: 859-335-9072 | |
Dr. James A Turpin Jr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 217 S 3rd St, Danville, KY 40422 Phone: 859-239-1000 | |
Thomas Nugent, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 217 S 3rd St, Danville, KY 40422 Phone: 859-335-9041 Fax: 859-335-9072 | |
Marie Seguin, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 217 S 3rd St, Danville, KY 40422 Phone: 859-335-9041 Fax: 859-335-9072 | |
Alaina Marie King Royalty, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 217 S 3rd St, Danville, KY 40422 Phone: 866-313-5260 | |
Jessica Dennison, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 217 S 3rd St, Danville, KY 40422 Phone: 859-335-9041 Fax: 859-335-9072 | |
Alicia Shirakbari, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 128 Daniel Dr, Danville, KY 40422 Phone: 859-238-0018 |