| Lennard Steven Wilson, MD | |
|
2835 Fort Missoula Rd, Ste 203, Missoula, MT 59804-7423 | |
| (406) 327-4091 | |
| (406) 327-4590 |
| Full Name | Lennard Steven Wilson |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2835 Fort Missoula Rd, Missoula, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225023096 | NPI | - | NPPES |
| 0088049 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 6749 (Montana) | Primary |
| Entity Name | Providence Health & Services Mt |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144319138 PECOS PAC ID: 6608786306 Enrollment ID: O20031229000787 |
| Mailing Address | Practice Location Address |
|---|---|
| Lennard Steven Wilson, MD 6520 Driftwood Ln, Missoula, MT 59803-3218 Ph: (406) 251-5253 | Lennard Steven Wilson, MD 2835 Fort Missoula Rd, Ste 203, Missoula, MT 59804-7423 Ph: (406) 327-4091 |
William D Stratford Jr., MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2831 Fort Missoula Road, Suite 305, Missoula, MT 59804 Phone: 406-327-4075 Fax: 406-327-4559 | |
Sarah Ann-louise Koch, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 601 W Spruce St Ste J, Missoula, MT 59802 Phone: 406-327-3350 Fax: 406-327-3355 | |
Mrs. Larisa Lynn Hammond, APRN Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 127 N Higgins Ave Ste 6, Missoula, MT 59802 Phone: 406-960-4698 | |
John A. Willoughby, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 900 N Orange St, Suite 202, Missoula, MT 59802 Phone: 406-327-3362 Fax: 406-327-3349 | |
Dr. Jane Camerson Wells, M.D., M.H.S. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 700 South Ave W, Suite B, Missoula, MT 59801 Phone: 406-541-6220 Fax: 406-541-6221 | |
Nicholas Hurst, MD, MS Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 900 N Orange St Ste 202, Missoula, MT 59802 Phone: 406-377-3362 | |
Dr. Kyle Charles Smith, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 601 W Spruce St Ste J, Missoula, MT 59802 Phone: 406-327-3350 Fax: 406-327-3355 |