| Emilee Marie Wilson, PA | |
|
173 Jefferson St, Dedham, MA 02026-5028 | |
| (617) 894-7337 | |
| Not Available |
| Full Name | Emilee Marie Wilson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 173 Jefferson St, Dedham, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073277232 | NPI | - | NPPES |
| 110190297A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA8677 (Massachusetts) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Entity Name | Emergency Physician Associates of Massachusetts PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730885252 PECOS PAC ID: 4981069580 Enrollment ID: O20230504001402 |
| Mailing Address | Practice Location Address |
|---|---|
| Emilee Marie Wilson, PA 173 Jefferson St, Dedham, MA 02026-5028 Ph: Not Available | Emilee Marie Wilson, PA 173 Jefferson St, Dedham, MA 02026-5028 Ph: (617) 894-7337 |
Daniel Jooyeol Gold, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 983 Boston-providence Turnpike, Dedham, MA 02026 Phone: 781-819-6400 |
Vicky Kim Nguyen, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 588 Providence Hwy, Dedham, MA 02026 Phone: 781-708-9299 |
Ms. Jacquelyn Elise Pennie, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Lyons St, Dedham, MA 02026 Phone: 508-880-0012 |
Cassidy Ann Repetto, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 140 Trenton Rd, Dedham, MA 02026 Phone: 781-686-2755 |
Kimberly King, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Lyons St, Dedham, MA 02026 Phone: 617-877-9174 |
Hayley Elisabeth Bukow, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Lyons St, Dedham, MA 02026 Phone: 781-493-3700 |
Olivia Edwards, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 983 Boston-providence Turnpike, Dedham, MA 02026 Phone: 781-819-6400 Fax: 339-234-6921 |