Dr Shan Christopher Wilson, DDS is a medicare enrolled "Dentist - General Practice" provider in Houston, Missouri. His current practice location is
321 S 2nd St, Houston, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 967-4528.
Dr Shan Christopher Wilson is licensed to practice in Missouri (license number 2011014268) 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 1487947545.
Healthcare Provider's Profile
Full Name | Dr Shan Christopher Wilson |
---|
Gender | Male |
---|
Speciality | Dentist - General Practice |
---|
Location | 321 S 2nd St, Houston, Missouri |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487947545
- Provider Enumeration Date: 05/24/2011
- Last Update Date: 05/24/2011
Medicare PECOS Information:
- PECOS PAC ID: 1850680380
- Enrollment ID: I20160523001140
Medical Identifiers
Medical identifiers for Dr Shan Christopher Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487947545 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 2011014268 (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 Shan Christopher 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 Shan Christopher Wilson, DDS 321 S 2nd St, Houston, MO 65483-1424 Ph: (417) 967-4528 | Dr Shan Christopher Wilson, DDS 321 S 2nd St, Houston, MO 65483-1424 Ph: (417) 967-4528 |
Reviews and Comments