Charles Richard Wilson, MD | |
6 Woodland Rd Ste 205, Saint Helena, CA 94574-9501 | |
(707) 963-6111 | |
(707) 963-6161 |
Full Name | Charles Richard Wilson |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 21 Years |
Location | 6 Woodland Rd Ste 205, Saint Helena, California |
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 |
---|---|---|---|
1295933471 | NPI | - | NPPES |
03026446 | Medicaid | NY | |
1022802 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 47551 (Montana) | Secondary |
208600000X | Surgery | C164914 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventist Health St Helena | Saint helena, CA | Hospital |
Adventist Health Clearlake | Clearlake, CA | Hospital |
Queen Of The Valley Medical Center | Napa, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Adventist Health Physicians Network | 3274580972 | 544 |
Entity Name | Adventist Health Physicians Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633 |
Mailing Address | Practice Location Address |
---|---|
Charles Richard Wilson, MD 1400 29th St S, Great Falls, MT 59405-5315 Ph: (406) 454-2171 | Charles Richard Wilson, MD 6 Woodland Rd Ste 205, Saint Helena, CA 94574-9501 Ph: (707) 963-6111 |
Dr. Emmett Lee Tetz, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 6 Woodland Rd, 201, Saint Helena, CA 94574 Phone: 707-963-5239 Fax: 707-963-0752 | |
Dr. Juan C Vasquez, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6 Woodland Rd Ste 101, Saint Helena, CA 94574 Phone: 707-963-6111 | |
Martin T Paukert, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6 Woodland Rd, Suite 302, Saint Helena, CA 94574 Phone: 707-968-0800 Fax: 707-963-8861 | |
Pedro Javier Ramirez, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 10 Woodland Rd, Saint Helena, CA 94574 Phone: 707-967-5721 Fax: 707-967-5722 | |
Dr. Mark K. Potter, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1127 Pope St, Suite 106, Saint Helena, CA 94574 Phone: 707-967-1970 Fax: 707-967-1972 | |
Dr. Steven Carlton Herber, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10 Woodland Rd, Saint Helena, CA 94574 Phone: 707-967-5981 Fax: 707-967-5712 |