| Stephen P Wilson, PAC | |
|
309 Lake Rd Ste A, Belton, TX 76513-1513 | |
| (254) 399-5600 | |
| Not Available |
| Full Name | Stephen P Wilson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 30 Years |
| Location | 309 Lake Rd Ste A, Belton, Texas |
| 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 |
|---|---|---|---|
| 1487740148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA01786 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott & White Medical Center - Temple | Temple, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scott And White Clinic | 8123923604 | 2426 |
| Entity Name | Scott & White Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
| Entity Name | Bsa Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457696916 PECOS PAC ID: 3971748146 Enrollment ID: O20130319000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen P Wilson, PAC Po Box 844658, Dallas, TX 75284-4658 Ph: (800) 994-0371 | Stephen P Wilson, PAC 309 Lake Rd Ste A, Belton, TX 76513-1513 Ph: (254) 399-5600 |
Maria Angelica Sandoval, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1001 Arbor Park, Belton, TX 76513 Phone: 254-831-2000 |
Kyndall Mckayla Moore, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 309 Lake Rd, Belton, TX 76513 Phone: 254-933-5600 |
Christopher Mann, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 751 Laila Ln, Belton, TX 76513 Phone: 817-659-5590 |
Lookmon Omisola, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 13382 Marigold Trl, Belton, TX 76513 Phone: 210-262-9864 |
Ernesto Sanchez, M.D. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 309 Lake Rd, Belton, TX 76513 Phone: 254-933-5600 Fax: 254-933-5605 |
Mrs. Regan Danielle Wenzel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1505 N Main St, Belton, TX 76513 Phone: 254-933-4000 |
Richelle Radcliff, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1505 N Main St, Belton, TX 76513 Phone: 254-933-4000 Fax: 254-933-4047 |