Dr Corey Stephen Wilson, MD | |
10905 Providence Rd W, Ste G200, Charlotte, NC 28277-1538 | |
(980) 488-4900 | |
(980) 488-4905 |
Full Name | Dr Corey Stephen Wilson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 11 Years |
Location | 10905 Providence Rd W, Ste G200, Charlotte, North Carolina |
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 |
---|---|---|---|
1063859361 | NPI | - | NPPES |
017818500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 2024-00423 (North Carolina) | Primary |
207Q00000X | Family Medicine | ME127654 (Florida) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Medical Center | Rock hill, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeastern Hospitalist Services Pc | 3476855420 | 275 |
Novant Medical Group Inc | 1153234893 | 2023 |
Entity Name | Southeastern Hospitalist Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003280108 PECOS PAC ID: 3476855420 Enrollment ID: O20160125000378 |
Mailing Address | Practice Location Address |
---|---|
Dr Corey Stephen Wilson, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (980) 488-4900 | Dr Corey Stephen Wilson, MD 10905 Providence Rd W, Ste G200, Charlotte, NC 28277-1538 Ph: (980) 488-4900 |
Shakuntala Mathapati, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-0720 | |
Nicole A. Cagle Richardson, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840 | |
David Jerret Pubantz, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 4501 Cameron Valley Pkwy, Ste 200-b, Charlotte, NC 28211 Phone: 704-381-0500 | |
Joshua Lee Eichenberger, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-0720 | |
Stefanie Rose Reed, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840 | |
Jasdip G. Bajaj, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 8800 N Tryon St, Charlotte, NC 28262 Phone: 704-863-6241 | |
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