| Gregory Stephan Wilson, MD | |
|
1001 South Nolan River Rd, Cleburne, TX 76033-6501 | |
| (817) 517-9466 | |
| (817) 556-9156 |
| Full Name | Gregory Stephan Wilson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 44 Years |
| Location | 1001 South Nolan River Rd, Cleburne, Texas |
| 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 |
|---|---|---|---|
| 1659364263 | NPI | - | NPPES |
| 00DR73 | Other | TX | BLUE CROSS BLUE SHIELD |
| 121512101 | Medicaid | TX | |
| 121512104 | Other | TX | TEXAS MEDICAID THSTP |
| 1029775 | Other | TX | AMERIGROUP TEXAS, INC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G0293 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Comanche County Medical Center | Comanche, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Concord Medical Group Pllc | 0446296818 | 158 |
| Primary Health Physicians Pllc | 7810237740 | 199 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Entity Name | Stephens Memorial Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518361369 PECOS PAC ID: 4688801715 Enrollment ID: O20150217001018 |
| Entity Name | Primary Health Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770048704 PECOS PAC ID: 7810237740 Enrollment ID: O20190312003418 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Stephan Wilson, MD 1001 South Nolan River Rd, Cleburne, TX 76033-6501 Ph: (817) 517-9466 | Gregory Stephan Wilson, MD 1001 South Nolan River Rd, Cleburne, TX 76033-6501 Ph: (817) 517-9466 |
Dr. Dale R Lucus, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 County Road 1224, Cleburne, TX 76033 Phone: 817-641-1777 | |
Dr. Mcdavid M Mahaffey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 805 N Main St, Cleburne, TX 76033 Phone: 817-202-3976 Fax: 817-202-3978 | |
Richelle Upshaw, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2010 W Katherine P Raines Rd Ste 500, Cleburne, TX 76033 Phone: 817-556-7785 Fax: 817-556-7786 | |
Dr. Steven Norman Martin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 805 N Main St, Cleburne, TX 76033 Phone: 817-202-3976 Fax: 817-202-3978 | |
Dr. Sylvia Jean Herr, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 519 N Main St, Cleburne, TX 76033 Phone: 817-645-5904 Fax: 817-645-8764 | |
Steve G Johnson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 220 N Ridgeway Dr, Cleburne, TX 76033 Phone: 817-556-4800 Fax: 817-556-4825 | |
Bruce Leighton Mertz, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 203 Walls Dr, Suite 204, Cleburne, TX 76033 Phone: 817-645-2070 Fax: 817-645-2055 |