Dr Elaine J Wilson, MD | |
2 Saint Vincent Cir, Neurology Lab, Little Rock, AR 72205-5423 | |
(501) 552-4930 | |
(501) 552-4205 |
Full Name | Dr Elaine J Wilson |
---|---|
Gender | Female |
Speciality | Neurology |
Experience | 43 Years |
Location | 2 Saint Vincent Cir, Little Rock, Arkansas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710932389 | NPI | - | NPPES |
112472001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | C-6076 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Chi-st Vincent Infirmary | Little rock, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Vincent Medical Group | 5698758803 | 204 |
Entity Name | St Vincent Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134176480 PECOS PAC ID: 5698758803 Enrollment ID: O20040622000224 |
Mailing Address | Practice Location Address |
---|---|
Dr Elaine J Wilson, MD 10 Iron Horse Rd, Little Rock, AR 72223-9501 Ph: (501) 416-8112 | Dr Elaine J Wilson, MD 2 Saint Vincent Cir, Neurology Lab, Little Rock, AR 72205-5423 Ph: (501) 552-4930 |
Sukanthi Kovvuru, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St, Little Rock, AR 72205 Phone: 609-865-3702 | |
Dr. Christopher Brent Lawlis, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000 Fax: 501-526-5148 | |
Dr. Albert Lee Kittrell, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000 | |
Bradley Scott Boop, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10001 Lile Dr, Little Rock, AR 72205 Phone: 501-227-8000 Fax: 501-221-0295 | |
Dr. Gregory Stanley Krulin, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11300 Financial Centre Pkwy, Suite 1200, Little Rock, AR 72211 Phone: 501-526-6090 Fax: 501-526-5503 | |
Carlene Williams Lyle, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2601 Kavanaugh Blvd, Suite 5, Little Rock, AR 72205 Phone: 501-663-8990 Fax: 501-663-8997 | |
Mr. Samuel Tyler Armstrong Bayles, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 700 S Schiller St, Little Rock, AR 72201 Phone: 501-660-6644 |