| Dr Timothy M Wilson Jr, MD | |
|
710 Dewitt Dr, Lugoff, SC 29078-9069 | |
| (803) 438-1806 | |
| Not Available |
| Full Name | Dr Timothy M Wilson Jr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 4 Years |
| Location | 710 Dewitt Dr, Lugoff, South Carolina |
| 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 |
|---|---|---|---|
| 1548843873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 86187 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Of Camden | Camden, SC | Home health agency |
| Kershawhealth | Camden, SC | Hospital |
| Providence Health | Columbia, SC | Hospital |
| Musc Medical Center | Charleston, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Musc Community Physicians | 6507260668 | 984 |
| Entity Name | Self Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982836847 PECOS PAC ID: 6002953916 Enrollment ID: O20091027000071 |
| Entity Name | Musc Community Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy M Wilson Jr, MD Po Box 23321, New York, NY 10087 Ph: () - | Dr Timothy M Wilson Jr, MD 710 Dewitt Dr, Lugoff, SC 29078-9069 Ph: (803) 438-1806 |
James C Kearse Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Dewitt Dr, Lugoff, SC 29078 Phone: 803-438-7566 Fax: 803-438-4371 | |
Dr. Joel Richard Oliver, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1060 Highway 1 S, Lugoff, SC 29078 Phone: 803-438-9759 Fax: 803-438-9783 | |
Min Kang, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Dewitt Dr, Lugoff, SC 29078 Phone: 803-438-1806 Fax: 803-438-4371 | |
Patrice L High, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 40 Baldwin Ave, Lugoff, SC 29078 Phone: 803-408-3262 Fax: 803-408-8895 |