| Brett Lee Wilson, PA | |
|
2521 Glenn Hendren Dr Ste 204, Liberty, MO 64068-3388 | |
| (816) 781-6066 | |
| Not Available |
| Full Name | Brett Lee Wilson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 2521 Glenn Hendren Dr Ste 204, Liberty, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194726307 | NPI | - | NPPES |
| 100002860A | Medicaid | KS | |
| 50797021 | Other | MO | BCBS |
| 970000628 | Other | KS | PALMETTO RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 2009014905 (Missouri) | Primary |
| 208600000X | Surgery | 15-00245 (Kansas) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Brett Lee Wilson, PA 1733 County Road 200, Emporia, KS 66801-7672 Ph: (620) 343-8044 | Brett Lee Wilson, PA 2521 Glenn Hendren Dr Ste 204, Liberty, MO 64068-3388 Ph: (816) 781-6066 |
Lia Marie Gause, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2521 Glenn Hendren Dr Ste 204, Liberty, MO 64068 Phone: 816-781-6066 Fax: 816-792-5130 |
Jamel Satin Reynolds, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1133 W Kansas St, Liberty, MO 64068 Phone: 816-781-7400 Fax: 816-781-3315 |
Daric Todd Neuschafer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Drive Suite 204, Liberty, MO 64068 Phone: 620-669-2500 |
Mrs. Leigh Ann Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2521 Glenn Hendren Dr, Suite 308, Liberty, MO 64068 Phone: 816-407-5490 Fax: 816-407-5491 |