| Mr Nathan G Wilson, LPT | |
|
790 N. Hwy 67, Florissant, MO 63031-5108 | |
| (314) 972-1442 | |
| (314) 972-1533 |
| Full Name | Mr Nathan G Wilson |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 790 N. Hwy 67, Florissant, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427230663 | NPI | - | NPPES |
| 08220357 | Other | IL | BCBS GROUP# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 070016087 (Illinois) | Primary |
| Entity Name | Jkh Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1467698068 PECOS PAC ID: 6800944034 Enrollment ID: O20090428000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Nathan G Wilson, LPT 15 Apex Dr, Highland, IL 62249-1282 Ph: (618) 441-0482 | Mr Nathan G Wilson, LPT 790 N. Hwy 67, Florissant, MO 63031-5108 Ph: (314) 972-1442 |
Dr. Ahmed Syed Ali, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1025 Dunn Rd, Florissant, MO 63031 Phone: 314-736-1333 Fax: 314-736-1336 | |
Kayla Grome, PT, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3501 Dunn Rd Ste 108, Florissant, MO 63033 Phone: 314-972-8070 | |
Naseem A Shekhani, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 11636 West Florissant Ave, Florissant, MO 63033 Phone: 314-733-5140 Fax: 314-965-7900 |