| Robert Allen Wilson, MD | |
|
120 Southwood Dr, Clinton, NC 28328-5002 | |
| (910) 592-7981 | |
| Not Available |
| Full Name | Robert Allen Wilson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 120 Southwood Dr, Clinton, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629189279 | NPI | - | NPPES |
| 128FT | Other | NC | BCBS PROVIDER NUMBER |
| 89128FT | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | NC3312 (North Carolina) | Primary |
| Entity Name | Goshen Medical Center, Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962124974 PECOS PAC ID: 3173434479 Enrollment ID: O20040102000726 |
| Entity Name | Inpatient Consultants Of North Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669422846 PECOS PAC ID: 5991720591 Enrollment ID: O20051012001172 |
| Entity Name | Nm Pacs 2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366928749 PECOS PAC ID: 3375892060 Enrollment ID: O20200109003016 |
| Entity Name | Cs Pacs 3 Southeast Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154104958 PECOS PAC ID: 8426404302 Enrollment ID: O20240815002813 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Allen Wilson, MD 328 Ne 48th St, Oak Island, NC 28465-5305 Ph: (919) 593-3402 | Robert Allen Wilson, MD 120 Southwood Dr, Clinton, NC 28328-5002 Ph: (910) 592-7981 |
John L. Rouse Iii, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-590-0601 Fax: 910-592-0815 | |
Joshua Ferrell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 516 Beaman St, Clinton, NC 28328 Phone: 105-900-0469 Fax: 910-590-0048 | |
Dr. Collin James Johnson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-592-6011 | |
Dr. Ted Albert Bauman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-592-6011 Fax: 910-592-0819 | |
Dr. Timothy Ted Smith, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 522 Beaman St, Clinton, NC 28328 Phone: 910-596-0093 Fax: 910-596-2287 | |
Sahar Demetria Safaee, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 607 Beaman St, Clinton, NC 28328 Phone: 910-596-5421 | |
Dr. Kateland Bennett, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 607 Beaman St, Clinton, NC 28328 Phone: 910-596-5421 |