| Maurice E Wilson, MD | |
|
600 Coffee Rd, Modesto, CA 95355-4201 | |
| (209) 524-1211 | |
| Not Available |
| Full Name | Maurice E Wilson |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 600 Coffee Rd, Modesto, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669430468 | NPI | - | NPPES |
| 00G593820 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G59382 (California) | Secondary |
| 208M00000X | Hospitalist | G59382 (California) | Primary |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Maurice E Wilson, MD 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 524-1211 | Maurice E Wilson, MD 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 524-1211 |
Radha Chirumamilla, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211 | |
Audrey Oen Tio, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211 | |
Alexander L Johnson, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211 | |
Dr. Kyaw Yu San, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-569-7408 Fax: 209-491-7587 | |
Yamin Aung, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-569-7408 | |
Seth Ackuayi, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-557-1000 | |
Nahrin G. Khoshaba, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-557-1000 |