| Holly Wilson, MD | |
|
1613 Nw 136th Ave, Ste 200, Sunrise, FL 33323-2896 | |
| (800) 437-2672 | |
| Not Available |
| Full Name | Holly Wilson |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 23 Years |
| Location | 1613 Nw 136th Ave, Sunrise, Florida |
| 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 |
|---|---|---|---|
| 1720280688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | ME98782 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Broward Health Imperial Point | Fort lauderdale, FL | Hospital |
| Broward Health Medical Center | Fort lauderdale, FL | Hospital |
| Melbourne Regional Medical Center | Melbourne, FL | Hospital |
| Steward Sebastian River Medical Center | Sebastian, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Melbourne Emergency Group, Llc | 2860783925 | 16 |
| Phoenix Emergency Medicine Of Broward Llc | 5991793002 | 64 |
| Mid-florida Emergency Physicians, Llc | 8426213596 | 18 |
| Entity Name | Phoenix Emergency Medicine Of Broward Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871542969 PECOS PAC ID: 5991793002 Enrollment ID: O20040505001132 |
| Entity Name | Paragon Contracting Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20041207001148 |
| Entity Name | Paragon Emergency Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
| Entity Name | Mid-florida Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558630152 PECOS PAC ID: 8426213596 Enrollment ID: O20120625000057 |
| Entity Name | Melbourne Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932562915 PECOS PAC ID: 2860783925 Enrollment ID: O20160620002409 |
| Entity Name | Emergency Medicine Services Of Fl Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Wilson, MD 1613 Nw 136th Ave, Ste 200, Sunrise, FL 33323-2896 Ph: () - | Holly Wilson, MD 1613 Nw 136th Ave, Ste 200, Sunrise, FL 33323-2896 Ph: (800) 437-2672 |
Ernesto Lugo, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Dr. Steven B Mcalpine, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 14050 Nw 14th St, Suite 190, Sunrise, FL 33323 Phone: 800-424-3672 Fax: 954-377-3042 | |
Dr. Jeffrey A Panozzo, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1613 Nw 136th Ave Ste 200, Sunrise, FL 33323 Phone: 954-838-2386 Fax: 954-851-1764 | |
Dr. Neil J. Principe, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 14050 Nw 14th St, Suite 190, Sunrise, FL 33323 Phone: 800-424-3672 Fax: 954-377-3042 | |
Jaroslaw S. Parkolap, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Eric Jon Teschke, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Michael T. Brazda, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 |