| 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: Not Enrolled in Medicare 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 |