| Gary Mark Wilson, NP | |
|
1301 1st St, Kennett, MO 63857-2525 | |
| (573) 888-8400 | |
| (573) 888-6688 |
| Full Name | Gary Mark Wilson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 1301 1st St, Kennett, Missouri |
| 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 |
|---|---|---|---|
| 1962844522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2013026042 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Bernards Medical Center | Jonesboro, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Bernards Physician Clinics Inc | 7012311269 | 172 |
| St Bernards Physician Clinics Inc | 7012311269 | 172 |
| Entity Name | St Bernards Physician Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407577216 PECOS PAC ID: 7012311269 Enrollment ID: O20230105000547 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Mark Wilson, NP Po Box 10800, Daytona Beach, FL 32120-0800 Ph: (386) 274-7800 | Gary Mark Wilson, NP 1301 1st St, Kennett, MO 63857-2525 Ph: (573) 888-8400 |
Brittnay Mossman, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 211 Teaco Rd, Kennett, MO 63857 Phone: 573-888-0001 | |
Savannah Coin, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 1st St, Kennett, MO 63857 Phone: 573-888-8413 | |
Mrs. Sharon Ann Payne, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Teaco Rd, Ste B, Kennett, MO 63857 Phone: 573-888-8828 Fax: 573-888-8849 | |
Ginger L Smith, APRN NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 211 Teaco Rd, Kennett, MO 63857 Phone: 573-888-0001 Fax: 573-888-0006 | |
Mrs. Connie Lynne Gurley, APRN-BC, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1231 1st St, Suite 5, Kennett, MO 63857 Phone: 573-888-8690 Fax: 573-717-1085 | |
Jennifer Leann Bader, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 Kennett St, Kennett, MO 63857 Phone: 573-717-1130 | |
Kristina Lynn Wadley, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 304 Teaco Rd, Kennett, MO 63857 Phone: 573-559-3591 |