Dr Douglas Glen Wilson, DO | |
54 Hospital Dr, Osage Beach, MO 65065-3050 | |
(573) 348-8000 | |
(573) 348-8309 |
Full Name | Dr Douglas Glen Wilson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 54 Hospital Dr, Osage Beach, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679797260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | DO.000244 (Louisiana) | Secondary |
207P00000X | Emergency Medicine | 2014017392 (Missouri) | Primary |
Entity Name | Camden Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003181637 PECOS PAC ID: 2961665369 Enrollment ID: O20120523000037 |
Mailing Address | Practice Location Address |
---|---|
Dr Douglas Glen Wilson, DO 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Dr Douglas Glen Wilson, DO 54 Hospital Dr, Osage Beach, MO 65065-3050 Ph: (573) 348-8000 |
Dr. John M Loney, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-348-8000 Fax: 573-348-8326 | |
Dr. Terry L. Berry, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Drive, Osage Beach, MO 65065 Phone: 573-348-8100 Fax: 573-348-8650 | |
Timothy S. Sindlinger, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-348-8100 Fax: 573-348-8650 | |
Molly Elizabeth Johnson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-348-8000 | |
John F Lange, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-348-8100 Fax: 573-348-8350 | |
Dr. Robert W. Hyatt, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 54 Hospital Drive, Osage Beach, MO 65065 Phone: 573-348-8100 Fax: 573-348-8650 | |
Michael P Jones, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-302-2287 Fax: 573-302-2241 |