Dr Justin Dean Wilson, MD | |
9980 Park Meadows Dr Ste 200, Lone Tree, CO 80124-8406 | |
(303) 744-1961 | |
(303) 744-1154 |
Full Name | Dr Justin Dean Wilson |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 9980 Park Meadows Dr Ste 200, Lone Tree, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467791392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 0071454 (Colorado) | Primary |
Entity Name | Mainegeneral Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669423380 PECOS PAC ID: 1254245715 Enrollment ID: O20031118000718 |
Mailing Address | Practice Location Address |
---|---|
Dr Justin Dean Wilson, MD 850 E Harvard Ave Ste 505, Denver, CO 80210-5078 Ph: (303) 744-1961 | Dr Justin Dean Wilson, MD 9980 Park Meadows Dr Ste 200, Lone Tree, CO 80124-8406 Ph: (303) 744-1961 |
Elizabeth A Burcham, PA-C Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 9960 Sky Ridge Ave, Lone Tree, CO 80124 Phone: 303-706-1616 | |
Dr. Phillip Blaine Whiting, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 10099 Ridgegate Pkwy, Conifer Building, Suite 230, Lone Tree, CO 80124 Phone: 303-706-1616 Fax: 303-706-0151 | |
Dr. Stephen Weber, MD, FACS Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 9695 S Yosemite St, Suite 359, Lone Tree, CO 80124 Phone: 303-792-2224 Fax: 888-378-4980 | |
Timothy Frederick Pingree, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 10099 Ridgegate Pkwy, Suite 230, Lone Tree, CO 80124 Phone: 303-706-1616 Fax: 303-706-0177 | |
Dr. Henry Patrick Carr, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 10099 Ridgegate Pkwy, Suite 230, Lone Tree, CO 80124 Phone: 303-706-1616 Fax: 303-706-0151 | |
Clark William Walker, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 10099 Ridgegate Pkwy, Suite 230, Lone Tree, CO 80124 Phone: 303-706-1616 Fax: 303-706-0177 |