| Mary Wilson, APN, NP | |
|
7245 Boulevard 26, North Richland Hills, TX 76180-8605 | |
| (850) 304-7986 | |
| Not Available |
| Full Name | Mary Wilson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 7245 Boulevard 26, North Richland Hills, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639533953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP136986 (Texas) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 21173 (Tennessee) | Secondary |
| Entity Name | Centerwell Senior Primary Care Tx Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861959298 PECOS PAC ID: 4789950247 Enrollment ID: O20190327001232 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Wilson, APN, NP 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168 Ph: (407) 533-6836 | Mary Wilson, APN, NP 7245 Boulevard 26, North Richland Hills, TX 76180-8605 Ph: (850) 304-7986 |
Phaphone Chanthachone, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7845 Hightower Dr, North Richland Hills, TX 76182 Phone: 214-529-6765 | |
Miss Temiloluwa Olatunde Oduyejo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6401 Precinct Line Rd, North Richland Hills, TX 76182 Phone: 866-389-2727 | |
Devon Kneisel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7835 Boulevard 26, North Richland Hills, TX 76180 Phone: 817-589-1822 Fax: 817-595-4597 | |
Gomathi Ramakrishnan, APRN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4109 City Point Dr, North Richland Hills, TX 76180 Phone: 817-435-1970 | |
Kelly M Eifling, AG-ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4375 Booth Calloway Rd Ste 400, North Richland Hills, TX 76180 Phone: 817-284-3915 Fax: 844-289-7694 | |
Janki N Patel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4300 City Point Dr Ste 201, North Richland Hills, TX 76180 Phone: 817-284-8222 Fax: 817-595-5718 | |
Lauren Ramsey, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4375 Booth Calloway Rd Ste 208, North Richland Hills, TX 76180 Phone: 817-912-5900 Fax: 817-912-5902 |