Christopher M Wilson, MD | |
2449 Hospital Dr, Suite 280, Bossier City, LA 71111-2399 | |
(318) 841-4004 | |
(318) 841-4008 |
Full Name | Christopher M Wilson |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 19 Years |
Location | 2449 Hospital Dr, Bossier City, Louisiana |
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 |
---|---|---|---|
1760691752 | NPI | - | NPPES |
4P065 | Other | LA | MEDICARE PTAN |
1092100 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 200947 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
Springhill Medical Center | Springhill, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wk Arklatex Urology And Prostate Cancer Institute | 5890862221 | 5 |
Springhill Medical Services, Inc. | 6002728912 | 18 |
Entity Name | Springhill Medical Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124092481 PECOS PAC ID: 6002728912 Enrollment ID: O20040224000371 |
Entity Name | Wk Arklatex Urology And Prostate Cancer Institute |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881857035 PECOS PAC ID: 5890862221 Enrollment ID: O20080925000695 |
Mailing Address | Practice Location Address |
---|---|
Christopher M Wilson, MD 2449 Hospital Dr, Suite 280, Bossier City, LA 71111-2399 Ph: (318) 841-4004 | Christopher M Wilson, MD 2449 Hospital Dr, Suite 280, Bossier City, LA 71111-2399 Ph: (318) 841-4004 |
Dr. William Stewart Bundrick Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2449 Hospital Dr, Suite 280, Bossier City, LA 71111 Phone: 318-841-4004 Fax: 318-841-4008 | |
Elizabeth C Harrel, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2300 Hospital Drive, Suite 400, Bossier City, LA 71111 Phone: 318-212-7850 Fax: 318-212-7858 | |
Gerard Dayle Henry, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2449 Hospital Dr, Ste 280, Bossier City, LA 71111 Phone: 318-212-7850 Fax: 318-841-4008 | |
Ezekiel Arthur Lopez, PA-C Urology Medicare: Medicare Enrolled Practice Location: 2449 Hospital Dr, Bossier City, LA 71111 Phone: 318-841-4004 |