| John Everett Wilson, MD | |
|
1309 W Main St, Walnut Ridge, AR 72476-1430 | |
| (870) 886-1200 | |
| Not Available |
| Full Name | John Everett Wilson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1309 W Main St, Walnut Ridge, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831149764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E2605 (Arkansas) | Primary |
| Entity Name | Lawrence Memorial Health Foundation Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1194724658 PECOS PAC ID: 9436305836 Enrollment ID: O20190128000431 |
| Entity Name | Lawrence Memorial Health Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962626770 PECOS PAC ID: 9436305836 Enrollment ID: O20191030002298 |
| Mailing Address | Practice Location Address |
|---|---|
| John Everett Wilson, MD 1900 Marlanita Dr, Paragould, AR 72450-4863 Ph: Not Available | John Everett Wilson, MD 1309 W Main St, Walnut Ridge, AR 72476-1430 Ph: (870) 886-1200 |
Cassandra Lou Hunter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1210 W Main St, Walnut Ridge, AR 72476 Phone: 870-972-0063 Fax: 870-886-3252 |
Kevin M Diamond, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1309 W Main St, Walnut Ridge, AR 72476 Phone: 870-886-1200 Fax: 870-886-5340 |
Vickey Lynne Snow, APRN Family Medicine Medicare: Medicare Enrolled Practice Location: 1309 W Main St, Walnut Ridge, AR 72476 Phone: 870-886-3211 Fax: 870-886-9027 |
Shawn C Peyton, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1210 W Main St, Walnut Ridge, AR 72476 Phone: 870-886-3543 Fax: 870-886-3252 |
Mrs. Sandra L Howard, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1309 W Main St, Walnut Ridge, AR 72476 Phone: 870-886-3211 Fax: 870-886-3616 |
Elizabeth Fike, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1309 W Main St, Walnut Ridge, AR 72476 Phone: 870-886-1200 Fax: 870-886-5340 |
Clay R Spencer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1210 W Main St, Walnut Ridge, AR 72476 Phone: 870-886-3543 Fax: 870-886-3252 |