Dr Jeremiah J Wilson, MD | |
127 Telfair St, Augusta, GA 30901-2590 | |
(706) 922-0600 | |
(706) 922-0604 |
Full Name | Dr Jeremiah J Wilson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 16 Years |
Location | 127 Telfair St, Augusta, Georgia |
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 |
---|---|---|---|
1285894352 | NPI | - | NPPES |
003112490A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 066105 (Georgia) | Primary |
207Q00000X | Family Medicine | MD30978 (South Carolina) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
University Hospital | Augusta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Christ Community Health Services Augusta, Inc. | 6608953633 | 20 |
Entity Name | Christ Community Health Services Augusta, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174716989 PECOS PAC ID: 6608953633 Enrollment ID: O20080401000769 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeremiah J Wilson, MD Po Box 2344, Augusta, GA 30903-2344 Ph: (706) 922-0600 | Dr Jeremiah J Wilson, MD 127 Telfair St, Augusta, GA 30901-2590 Ph: (706) 922-0600 |
Dr. Toya Hester Kelley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3157 | |
Janis S. Coffin, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-4588 Fax: 706-721-7264 | |
Dr. Thomas Christopher Smith, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1701 Magnolia Way Ste 101, Augusta, GA 30909 Phone: 706-922-6600 Fax: 706-650-0239 | |
Dr. William Robert Rout, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 963 Bennock Mill Dr., Augusta, GA 30906 Phone: 352-538-5899 | |
Racquel Puranda, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 678-790-0634 | |
Angela Overstreet Wright, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2607 Commons Blvd, Augusta, GA 30909 Phone: 706-750-8601 | |
Shahed Anam Ibn Faruk, Family Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2273 |