| Charles Derrick Wilson, CRNA | |
|
4800 48th St, Valley, AL 36854-3666 | |
| (334) 756-1848 | |
| (334) 756-1854 |
| Full Name | Charles Derrick Wilson |
|---|---|
| Gender | Male |
| Speciality | |
| Experience | Years |
| Location | 4800 48th St, Valley, Alabama |
| 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 |
|---|---|---|---|
| 1730146309 | NPI | - | NPPES |
| 51517977 | Other | AL | BCBSAL PROVIDER # |
| 000549381E | Medicaid | GA | |
| 051517977 | Medicaid | AL | |
| 000549381C | Medicaid | GA | |
| 000549381D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1-044011 (Alabama) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN065069 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Derrick Wilson, CRNA Po Box 661495, Birmingham, AL 35266-1495 Ph: (205) 979-5882 | Charles Derrick Wilson, CRNA 4800 48th St, Valley, AL 36854-3666 Ph: (334) 756-1848 |
Thomas M Nichols, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4800 48th St, Valley, AL 36854 Phone: 334-756-1848 Fax: 334-756-1854 | |
Mr. Gary Russell Mills, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4800 48th St, Valley, AL 36854 Phone: 256-283-7878 | |
Heather Laconya Veal Fields, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4800 48th St, Valley, AL 36854 Phone: 334-756-1848 Fax: 334-756-1854 | |
James M Henderson Jr., CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4800 48th St, Valley, AL 36854 Phone: 334-756-1848 Fax: 334-756-1854 |