| Mark Christopher Wilson, MD | |
|
2025 Virginia Ave, Suite A, Connersville, IN 47331-2921 | |
| (615) 585-5941 | |
| Not Available |
| Full Name | Mark Christopher Wilson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2025 Virginia Ave, Connersville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568402121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD0000039499 (Tennessee) | Secondary |
| 207P00000X | Emergency Medicine | MD0000039499 (Tennessee) | Primary |
| Entity Name | Apogee Medical Group Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578717682 PECOS PAC ID: 4688721863 Enrollment ID: O20090403000215 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20151006000818 |
| Entity Name | Lauderdale Community Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962034272 PECOS PAC ID: 9830505023 Enrollment ID: O20210422000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Christopher Wilson, MD 2561 Kanlow Dr, Antioch, TN 37013-3951 Ph: (615) 941-5204 | Mark Christopher Wilson, MD 2025 Virginia Ave, Suite A, Connersville, IN 47331-2921 Ph: (615) 585-5941 |
Dr. Steven Dwight Mcmahan, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1941 Virginia Ave, Connersville, IN 47331 Phone: 765-825-5131 | |
Jerome R Giesting, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1475 E State Road 44, Connersville, IN 47331 Phone: 765-825-8686 | |
Dr. Ira Brady Husky, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1941 Virginia Ave, Connersville, IN 47331 Phone: 765-825-5131 |