| Mr Robert C Wilson, MD | |
|
350 Hospital Dr, Macon, GA 31217-3838 | |
| (478) 746-7577 | |
| Not Available |
| Full Name | Mr Robert C Wilson |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 36 Years |
| Location | 350 Hospital Dr, Macon, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285602136 | NPI | - | NPPES |
| 597085 | Other | GA | BCBS OF GA |
| 000660624C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 036042 (Georgia) | Secondary |
| 207L00000X | Anesthesiology | 036042 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Coliseum Medical Centers, Llc, Dba | Macon, GA | Hospital |
| Tift Regional Medical Center | Tifton, GA | Hospital |
| Coliseum Northside Hospital | Macon, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tift Regional Health System Inc | 2062745169 | 262 |
| Piedmont Anesthesia Llc | 2163837972 | 365 |
| Entity Name | Middle Georgia Anesthesia Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386614857 PECOS PAC ID: 9830186790 Enrollment ID: O20040430000691 |
| Entity Name | Concordia Anesthesiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619296464 PECOS PAC ID: 8325172885 Enrollment ID: O20100819000220 |
| Entity Name | Piedmont Specialty Hospital Billing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699290510 PECOS PAC ID: 4183986490 Enrollment ID: O20180327001180 |
| Entity Name | Tift Regional Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881203305 PECOS PAC ID: 2062745169 Enrollment ID: O20200217002409 |
| Entity Name | Piedmont Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700474244 PECOS PAC ID: 2163837972 Enrollment ID: O20210208002823 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Robert C Wilson, MD Po Box 235019, Montgomery, AL 36123-5019 Ph: (334) 279-1450 | Mr Robert C Wilson, MD 350 Hospital Dr, Macon, GA 31217-3838 Ph: (478) 746-7577 |
Dr. Mauro Faibicher, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 866-507-5244 Fax: 855-851-4405 | |
Keith N Phillippi, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 380 Hospital Drive, Suite 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849 | |
Dr. David M Kalish Iii, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 866-507-5244 Fax: 855-851-4405 | |
Dorene Jeanine Hinton, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 350 Hospital Dr, Macon, GA 31217 Phone: 478-750-8606 | |
Hubert R Buxton Iii, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 380 Hospital Drive, Suite 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849 | |
Manojna P Sanjeev, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 380 Hospital Drive, Suite 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849 | |
Boris Pechenik, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 478-633-1000 |