| Hailey L Wilson, MD | |
|
111 Bever Grade, Lapwai, ID 83554-0367 | |
| (208) 843-2271 | |
| (208) 621-4995 |
| Full Name | Hailey L Wilson |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 12 Years |
| Location | 111 Bever Grade, Lapwai, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881006542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5271551 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Regional Medical Center | Lewiston, ID | Hospital |
| Clearwater Valley Hospital & Clinics | Orofino, ID | Hospital |
| Tri-state Memorial Hospital | Clarkston, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nez Perce Tribal Health Authority | 0941288302 | 14 |
| Entity Name | Nez Perce Tribal Health Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790795888 PECOS PAC ID: 0941288302 Enrollment ID: O20040712000823 |
| Entity Name | Dhhs Ihs Phoenix Area |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427335140 PECOS PAC ID: 2668649567 Enrollment ID: O20120117000781 |
| Mailing Address | Practice Location Address |
|---|---|
| Hailey L Wilson, MD 111 Bever Grade, Lapwai, ID 83554-0367 Ph: (208) 843-2271 | Hailey L Wilson, MD 111 Bever Grade, Lapwai, ID 83554-0367 Ph: (208) 843-2271 |
Dr. Roxie Kim Hartwig, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 111 Bever Grade Rd, Lapwai, ID 83540 Phone: 208-843-2271 Fax: 208-621-4995 | |
Dustin K Worth, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Bever Grade Road, Lapwai, ID 83540 Phone: 208-843-2271 Fax: 208-621-4995 | |
Dr. Edward D. Smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Bever Grade Road, Lapwai, ID 83540 Phone: 208-843-2271 Fax: 208-621-4995 | |
Dr. Carena May Thompson, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 111 Beaver Grade Road, Lapwai, ID 83540 Phone: 208-843-2842 Fax: 309-527-3525 | |
John Horstkamp, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 111 Bever Grade, Lapwai, ID 83540 Phone: 208-843-2271 |