| Wilson Medical Staffing | |
|
2603 Kentucky Ave Ste 305 Paducah KY 42003-3814 | |
| (270) 558-5456 | |
| (270) 558-5471 |
| Full Name | Wilson Medical Staffing |
|---|---|
| Speciality | Internal Medicine |
| Location | 2603 Kentucky Ave Ste 305, Paducah, Kentucky |
| Authorized Official Name and Position | Richard Scott Wilson (MEMBER/MANAGER) |
| Authorized Official Contact | 2705585456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilson Medical Staffing Po Box 9485 Paducah KY 42002-9485 Ph: (270) 558-5456 | Wilson Medical Staffing 2603 Kentucky Ave Ste 305 Paducah KY 42003-3814 Ph: (270) 558-5456 |
| NPI Number | 1033757638 |
|---|---|
| Provider Enumeration Date | 12/13/2019 |
| Last Update Date | 01/12/2021 |
| Certification Date | 01/12/2021 |
| Medicare PECOS PAC ID | 0345675005 |
|---|---|
| Medicare Enrollment ID | O20200127002453 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033757638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 363A00000X | Physician Assistant | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Secondary |
| Provider Name | Richard S Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952508715 PECOS PAC ID: 0547340614 Enrollment ID: I20080102000007 |
| Provider Name | Hollis J Clark |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154659894 PECOS PAC ID: 6406985076 Enrollment ID: I20100520000648 |
| Provider Name | Shauna S Yadloski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467796862 PECOS PAC ID: 5890935399 Enrollment ID: I20130705000119 |
| Provider Name | Meredith a Crider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447713623 PECOS PAC ID: 8527391671 Enrollment ID: I20190605001907 |
| Provider Name | Kandice Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619512613 PECOS PAC ID: 1759710866 Enrollment ID: I20200410000078 |
| Provider Name | Toni Shantel Gordon-bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568091270 PECOS PAC ID: 1557784329 Enrollment ID: I20200713001271 |
| Provider Name | Whitley Jo Swift |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245854355 PECOS PAC ID: 1557780954 Enrollment ID: I20201005001985 |
Jeffrey L. Riney M.D. & Associates PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 225 Medical Center Dr, Suite 209b, Paducah, KY 42003 Phone: 270-441-4610 Fax: 270-441-4608 |
Emerald Healthcare Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2520 New Holt Rd Ste I, Paducah, KY 42001 Phone: 270-310-9200 Fax: 270-477-0007 |
Kentuckycare 161 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 S 20th St, Paducah, KY 42001 Phone: 270-575-3247 Fax: 270-442-7335 |
Mercy Health Physicians Kentucky Specialty Care LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 Medical Center Dr Ste 202, Paducah, KY 42003 Phone: 270-441-4510 Fax: 270-441-4512 |
Baptist Health Medical Group Strawberry Hills Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2670 Holt Road, Suite 200, Paducah, KY 42001 Phone: 270-575-2875 Fax: 270-575-2877 |
Western Baptist Medical Ventures, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Kentucky Ave, Paducah, KY 42003 Phone: 270-575-2101 Fax: 270-575-2905 |