Fernandino Louis Vilson, MD | |
1562 Opossumtown Pike, Frederick, MD 21702-4920 | |
(240) 215-6310 | |
Not Available |
Full Name | Fernandino Louis Vilson |
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Gender | Male |
Speciality | Urology |
Location | 1562 Opossumtown Pike, Frederick, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609309566 | NPI | - | NPPES |
200121997 | Medicaid | MO | |
224040220 | Other | IN | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 01094508A (Indiana) | Secondary |
208800000X | Urology | D0100975 (Maryland) | Primary |
208800000X | Urology | 2023010472 (Missouri) | Secondary |
Entity Name | Washington University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760425474 PECOS PAC ID: 9830008770 Enrollment ID: O20040315000891 |
Mailing Address | Practice Location Address |
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Fernandino Louis Vilson, MD 400 W 7th St, Frederick, MD 21701-4506 Ph: () - | Fernandino Louis Vilson, MD 1562 Opossumtown Pike, Frederick, MD 21702-4920 Ph: (240) 215-6310 |
Mohammed M Mohiuddin, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 801 Toll House Ave, Bldg B2, Frederick, MD 21701 Phone: 301-694-8080 Fax: 301-694-8089 | |
Miss Claudia Ofori-marfoh, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1562 Opossumtown Pike, Frederick, MD 21702 Phone: 240-215-6310 Fax: 240-566-7754 | |
Dr. Mohammed Haseebuddin, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 184 Thomas Johnson Dr Ste 201, Frederick, MD 21702 Phone: 301-606-0551 Fax: 301-606-1958 | |
Miss Sandra Marie Rizzo, CRNP Urology Medicare: Accepting Medicare Assignments Practice Location: 77 Thomas Johnson Dr Ste K, Frederick, MD 21702 Phone: 301-662-4868 Fax: 301-662-4200 | |
Dr. Bert Edward Williams, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 97 Thomas Johnson Drive, Suite 102, Frederick, MD 21702 Phone: 301-694-0414 Fax: 301-694-0415 | |
Dr. Cynthia Joy Moorman, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 77 Thomas Johnson Dr, Suite K, Frederick, MD 21702 Phone: 301-662-4868 Fax: 301-662-0050 |