| Dr Kevin William Wilson, MD | |
|
1700 Old Gatesburg Rd Ste 200, State College, PA 16803-2276 | |
| (814) 237-4321 | |
| (814) 235-0484 |
| Full Name | Dr Kevin William Wilson |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 17 Years |
| Location | 1700 Old Gatesburg Rd Ste 200, State College, Pennsylvania |
| 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 |
|---|---|---|---|
| 1790980381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | MD468320 (Pennsylvania) | Secondary |
| 207X00000X | Orthopaedic Surgery | MD468320 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mount Nittany Medical Center | State college, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phoenix Rehabilitation And Health Services Inc | 3476464298 | 49 |
| Keystone Rehabilitation Systems Inc | 7012826753 | 533 |
| Mount Nittany Medical Center Health Services Inc | 8426136797 | 204 |
| Entity Name | Mount Nittany Medical Center Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164691499 PECOS PAC ID: 8426136797 Enrollment ID: O20081021000240 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin William Wilson, MD 1700 Old Gatesburg Rd Ste 200, State College, PA 16803-2276 Ph: (814) 237-4321 | Dr Kevin William Wilson, MD 1700 Old Gatesburg Rd Ste 200, State College, PA 16803-2276 Ph: (814) 237-4321 |
Dr. Dov A Bader, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1850 E Park Ave, Suite 112, State College, PA 16803 Phone: 814-865-3566 Fax: 814-863-7803 | |
Jason D Clark, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 239 Colonnade Blvd Ste 2, State College, PA 16803 Phone: 582-220-2310 Fax: 582-220-2311 | |
Scott Edward Eaton, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 101 Regent Ct, State College, PA 16801 Phone: 814-231-2101 | |
Dr. Edwin J Rogusky, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 101 Regent Ct, State College, PA 16801 Phone: 814-231-2101 Fax: 814-231-8569 | |
Thomas J Ellis, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 101 Regent Ct, State College, PA 16801 Phone: 814-231-2101 Fax: 814-231-8569 | |
Dr. Christopher J. Lincoski, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 101 Regent Ct, State College, PA 16801 Phone: 814-231-2101 Fax: 814-231-8569 | |
James S Martin, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 Old Gatesburg Rd Ste 200, State College, PA 16803 Phone: 814-237-4321 Fax: 814-235-0484 |