| Joan Wilson, MD | |
|
2212 Wilborn Ave, South Boston, VA 24592-1630 | |
| (434) 572-8921 | |
| (434) 572-2063 |
| Full Name | Joan Wilson |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 2212 Wilborn Ave, South Boston, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124097282 | NPI | - | NPPES |
| 240940 | Other | VA | BCBS |
| 006207561 | Medicaid | VA | |
| 48092 | Other | VA | OPTIMA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 0101034828 (Virginia) | Primary |
| Entity Name | Halifax Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588668842 PECOS PAC ID: 4587572805 Enrollment ID: O20040607000050 |
| Entity Name | Piedmont Access To Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649240698 PECOS PAC ID: 3476512427 Enrollment ID: O20050304000592 |
| Entity Name | Danville Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629022868 PECOS PAC ID: 4688606304 Enrollment ID: O20051007000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Joan Wilson, MD 159 Executive Dr, Ste E, Danville, VA 24541-4160 Ph: (434) 572-8921 | Joan Wilson, MD 2212 Wilborn Ave, South Boston, VA 24592-1630 Ph: (434) 572-8921 |
Joni Abbott, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2206 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-8627 Fax: 434-517-8080 | |
Duc K Trieu, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2212 Wilborn Ave, South Boston, VA 24592 Phone: 434-572-8921 Fax: 434-572-2063 | |
Carlos Alberto Pottinger, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2206 Wilborn Ave Bldg 1, South Boston, VA 24592 Phone: 434-517-8627 Fax: 434-517-8080 |