| Beverly N Wilson, PA-C | |
|
12038 Ocean Gateway, Unit 1, Ocean City, MD 21842 | |
| (410) 390-3341 | |
| (410) 390-3618 |
| Full Name | Beverly N Wilson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 12038 Ocean Gateway, Ocean City, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023552817 | NPI | - | NPPES |
| C0006301 | Other | MD | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | C0006301 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Homecall | Easton, MD | Home health agency |
| Atlantic General Hospital | Berlin, MD | Hospital |
| Tidalhealth Peninsula Regional, Inc | Salisbury, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tidalhealth Atlantic Inc | 2365437837 | 95 |
| Tidalhealth Primary Care Llc | 7911320635 | 63 |
| Entity Name | Tidalhealth Atlantic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871582171 PECOS PAC ID: 2365437837 Enrollment ID: O20040415000939 |
| Entity Name | Tidalhealth Primary Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104453208 PECOS PAC ID: 7911320635 Enrollment ID: O20200714000016 |
| Mailing Address | Practice Location Address |
|---|---|
| Beverly N Wilson, PA-C 12038 Ocean Gateway, Unit 1, Ocean City, MD 21842 Ph: (410) 390-3341 | Beverly N Wilson, PA-C 12038 Ocean Gateway, Unit 1, Ocean City, MD 21842 Ph: (410) 390-3341 |
Rachael C Boswell, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12547 Ocean Gtwy, Ocean City, MD 21842 Phone: 410-213-0119 Fax: 410-213-2875 |
Alexandra Murray, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12547 Ocean Gtwy, Ocean City, MD 21842 Phone: 410-213-0119 Fax: 410-213-2875 |
Ms. Cynthia Randolph, P.A.C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12547 Ocean Gateway, Ocean City, MD 21842 Phone: 410-213-0119 Fax: 410-213-2875 |
Kyle Bowen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 12547 Ocean Gtwy, Ocean City, MD 21842 Phone: 410-213-0119 |
Stephanie Renee Polce, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12547 Ocean Gtwy, Ocean City, MD 21842 Phone: 410-213-0119 |
Christina Werrlein, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 12547 Ocean Gtwy, Ocean City, MD 21842 Phone: 410-213-0119 |
Vaeda Pontosky, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12547 Ocean Gtwy, Ocean City, MD 21842 Phone: 410-213-0119 |