Dr Edith Diane Wilson, MD | |
615 Lilly Rd Ne Ste 175, Olympia, WA 98506-5179 | |
(360) 486-6772 | |
(360) 486-6775 |
Full Name | Dr Edith Diane Wilson |
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Gender | Female |
Speciality | Urology |
Location | 615 Lilly Rd Ne Ste 175, Olympia, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972602969 | NPI | - | NPPES |
110601500 | Medicaid | WY | |
W9209 | Other | CLINIC MCAR # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 5500A (Wyoming) | Primary |
208800000X | Urology | 36402 (Colorado) | Secondary |
Entity Name | St Alexius Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205868429 PECOS PAC ID: 8426960865 Enrollment ID: O20031104000146 |
Mailing Address | Practice Location Address |
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Dr Edith Diane Wilson, MD 615 Lilly Rd Ne Ste 175, Olympia, WA 98506-5179 Ph: (360) 486-6772 | Dr Edith Diane Wilson, MD 615 Lilly Rd Ne Ste 175, Olympia, WA 98506-5179 Ph: (360) 486-6772 |
Dr. Daniel Mark Brown, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 402 Black Hills Ln Sw, Suite A, Olympia, WA 98502 Phone: 360-943-9400 Fax: 360-956-3475 | |
Dr. John Kelley Muenchrath, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 404 Yauger Way Sw Ste 100, Olympia, WA 98502 Phone: 360-596-4614 | |
Simon P Zadina, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 703 Lilly Rd Ne, Suite 106, Olympia, WA 98506 Phone: 360-350-0281 Fax: 360-918-8280 | |
Dr. Pierre Dominique Mechali, M.D. Urology Medicare: Medicare Enrolled Practice Location: 149 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-486-6772 Fax: 360-455-7405 | |
Patrick William Murray, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 149 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-486-6772 Fax: 360-455-7405 | |
Dr. Richard Nathaniel Greene Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 149 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-486-6772 | |
Dr. David M Ward, M.D Urology Medicare: Accepting Medicare Assignments Practice Location: 149 Lilly Rd Ne, Pmg Sw Wa Olympia Urology, Olympia, WA 98506 Phone: 360-486-6772 |