| Nicholas Richard Wilson, PA-C | |
|
8765 Lewis Ave, Temperance, MI 48182-9583 | |
| (734) 847-3802 | |
| Not Available |
| Full Name | Nicholas Richard Wilson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 8765 Lewis Ave, Temperance, Michigan |
| 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 |
|---|---|---|---|
| 1407871262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5601005306 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Promedica Monroe Regional Hospital | Monroe, MI | Hospital |
| Promedica Toledo Hospital | Toledo, OH | Hospital |
| Mercy St Vincent Medical Center | Toledo, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Medical Center Of Michigan,inc | 2769575653 | 18 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Richard Wilson, PA-C 8765 Lewis Ave, Temperance, MI 48182-9583 Ph: (734) 847-3802 | Nicholas Richard Wilson, PA-C 8765 Lewis Ave, Temperance, MI 48182-9583 Ph: (734) 847-3802 |
Matthew Alexander Wallace, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7497 Bernard Dr, Temperance, MI 48182 Phone: 616-318-9649 | |
Marissa Callicotte, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8765 Lewis Ave, Temperance, MI 48182 Phone: 734-654-2169 | |
Mr. Edward Charles Follas, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8765 Lewis Ave, Temperance, MI 48182 Phone: 734-847-3802 Fax: 734-847-3418 |