| Joseph Richard Wilson, MD | |
|
610 Florence Ave, Owatonna, MN 55060-4704 | |
| (507) 451-2630 | |
| Not Available |
| Full Name | Joseph Richard Wilson |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 43 Years |
| Location | 610 Florence Ave, Owatonna, Minnesota |
| 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 |
|---|---|---|---|
| 1922119502 | NPI | - | NPPES |
| 269000247 | Other | MN | MEDICARE PTAN |
| HP18408 | Other | MN | HEALTH PARTNERS |
| 105813 | Other | MN | UCARE |
| 230203900 | Medicaid | MN | |
| 69221WI | Other | MN | BLUECROSSBLUESHIELD |
| 15-12382 | Other | MN | UNITED BEHAVIORAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 31972 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Zumbro Valley Health Center | 7810961703 | 21 |
| South Central Human Relations Center | 8527065515 | 11 |
| Entity Name | Zumbro Valley Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801961263 PECOS PAC ID: 7810961703 Enrollment ID: O20040825001137 |
| Entity Name | South Central Human Relations Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063437564 PECOS PAC ID: 8527065515 Enrollment ID: O20061220000267 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Richard Wilson, MD 610 Florence Ave, Owatonna, MN 55060-4704 Ph: (507) 451-8807 | Joseph Richard Wilson, MD 610 Florence Ave, Owatonna, MN 55060-4704 Ph: (507) 451-2630 |
Claudia Cuervo, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 610 Florence Ave, Owatonna, MN 55060 Phone: 507-451-2630 Fax: 507-455-8133 | |
Naila Goenka, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2200 Nw 26th St, Owatonna, MN 55060 Phone: 507-444-5044 | |
Dr. David Ritland Tverberg, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 610 Florence Ave, Owatonna, MN 55060 Phone: 507-451-2630 Fax: 507-455-8133 |