| Wanda Gayle Wilson, DO | |
| 3559 Amazonas St, Jefferson City, MO 65109 | |
| (573) 893-7848 | |
| (573) 893-1984 | 
| Full Name | Wanda Gayle Wilson | 
|---|---|
| Gender | Female | 
| Speciality | General Practice | 
| Location | 3559 Amazonas St, Jefferson City, Missouri | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1033182118 | NPI | - | NPPES | 
| 9183317004 | Other | CIGNA | |
| P00200365 | Other | RR MEDICARE | |
| 185418 | Other | BCBS | |
| 241488329 | Medicaid | MO | |
| 829180 | Other | FIRST HEALTH | |
| D41738 | Other | MERCY | |
| 251463 | Other | HEALTHLINK | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208D00000X | General Practice | R8779 (Missouri) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Wanda Gayle Wilson, DO 3559 Amazonas St, Health Branch West, Jefferson City, MO 65109 Ph: (573) 893-7848 | Wanda Gayle Wilson, DO 3559 Amazonas St, Jefferson City, MO 65109 Ph: (573) 893-7848 | 
| Mark Christopher Link, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1002 Diamond Rdg, Suite 200, Jefferson City, MO 65109 Phone: 573-632-5585 Fax: 573-634-2978 | |
| Carey Diana Vaughan, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: 1014 Madison St, Jefferson City, MO 65101 Phone: 573-644-6999 Fax: 573-644-7880 |