Bradley A Wilson, MD | |
1000 Health Center Dr Ste 101, Mattoon, IL 61938-4644 | |
(217) 258-4020 | |
(217) 258-4023 |
Full Name | Bradley A Wilson |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 24 Years |
Location | 1000 Health Center Dr Ste 101, Mattoon, Illinois |
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 |
---|---|---|---|
1528046141 | NPI | - | NPPES |
208959 | Other | IL | MEDICARE GRP NUMBER |
207215500 | Medicaid | MO | |
207988 | Other | IL | MEDICARE GRP NUMBER |
CE9335 | Other | IL | RR GROUP |
P00396925 | Other | IL | RR MEDICARE NUMBER |
718653 | Other | MO | HEALTHLINK |
7470693 | Other | MO | AETNA |
I37919 | Other | MO | MERCY HEALTH PLANS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 2005016227 (Missouri) | Secondary |
208600000X | Surgery | 36118588 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sarah Bush Lincoln Health Center | 5092614867 | 327 |
Entity Name | Sarah Bush Lincoln Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
Mailing Address | Practice Location Address |
---|---|
Bradley A Wilson, MD 1005 Health Center Dr Ste 201, Mattoon, IL 61938-4693 Ph: (217) 238-6055 | Bradley A Wilson, MD 1000 Health Center Dr Ste 101, Mattoon, IL 61938-4644 Ph: (217) 258-4020 |
Dr. Uretz John Oliphant, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Lerna Rd S, Mattoon, IL 61938 Phone: 217-258-5900 | |
Curtis Green, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr Ste 101, Mattoon, IL 61938 Phone: 217-258-4020 Fax: 217-258-4023 | |
Nicole Renee Hammond, MD Surgery Medicare: Medicare Enrolled Practice Location: 1000 Health Center Dr Ste 101, Mattoon, IL 61938 Phone: 217-258-4020 Fax: 217-258-4023 | |
Dr. Eun Ee Kim, DO Surgery Medicare: Medicare Enrolled Practice Location: 1000 Health Center Dr Ste 101, Mattoon, IL 61938 Phone: 217-258-4020 Fax: 217-258-4023 | |
Dr. Jason A. Glenn, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-4020 |