Keith D Wilson Jr, MD is a
General Practice physician based in Reisterstown, Maryland. Keith D Wilson Jr is licensed to practice in Maryland (license number D71538) and his current practice location is 11722 Reisterstown Rd, Reisterstown, Maryland. He can be reached at his office (for appointments etc.) via phone at
(410) 833-5000.
NPI number for Keith D Wilson Jr is 1720248198 and his current mailing address is Po Box 1708, Greenbelt, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720248198.
Physician's Profile
Full Name | Keith D Wilson Jr |
---|
Gender | Male |
---|
Speciality | General Practice |
---|
Location | 11722 Reisterstown Rd, Reisterstown, Maryland |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720248198
- Provider Enumeration Date: 06/10/2008
- Last Update Date: 05/31/2011
Medical Identifiers
Medical identifiers for Keith D Wilson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720248198 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | D71538 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keith D Wilson Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Keith D Wilson Jr, MD Po Box 1708, Greenbelt, MD 20768-1708 Ph: () - | Keith D Wilson Jr, MD 11722 Reisterstown Rd, Reisterstown, MD 21136-3302 Ph: (410) 833-5000 |
Reviews and Comments