Dr Eric Stanley Wilson, DDS is a medicare enrolled "Dentist" provider in Cole Camp, Missouri. His current practice location is
606 W Main St, Cole Camp, Missouri. You can reach out to his office (for appointments etc.) via phone at
(660) 668-3322.
Dr Eric Stanley Wilson is licensed to practice in Missouri (license number DE015299) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154425262.
Healthcare Provider's Profile
| Full Name | Dr Eric Stanley Wilson |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 606 W Main St, Cole Camp, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1154425262
- Provider Enumeration Date: 09/11/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8426308354
- Enrollment ID: I20180913001979
Medical Identifiers
Medical identifiers for Dr Eric Stanley Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154425262 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DE015299 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Eric Stanley Wilson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Eric Stanley Wilson, DDS
Po Box 50,
Cole Camp, MO 65325
Ph: (660) 668-3322 | Dr Eric Stanley Wilson, DDS
606 W Main St,
Cole Camp, MO 65325
Ph: (660) 668-3322 |
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