Dr Kim A Wilson, MD | |
75 Bickford St, Martha Eliot Health Center, Jamaica Plain, MA 02130-1401 | |
(617) 971-2312 | |
Not Available |
Full Name | Dr Kim A Wilson |
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Gender | Female |
Speciality | Pediatrics |
Location | 75 Bickford St, Jamaica Plain, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124194006 | NPI | - | NPPES |
3150620 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 76388 (Massachusetts) | Primary |
Entity Name | Children's Hospital Pediatric Associates, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457306664 PECOS PAC ID: 3476541830 Enrollment ID: O20040504000964 |
Mailing Address | Practice Location Address |
---|---|
Dr Kim A Wilson, MD 63 Claypit Hill Rd, Wayland, MA 01778-2004 Ph: (508) 358-7841 | Dr Kim A Wilson, MD 75 Bickford St, Martha Eliot Health Center, Jamaica Plain, MA 02130-1401 Ph: (617) 971-2312 |
Dr. Staci R Eisenberg, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1153 Centre St, Jamaica Plain, MA 02130 Phone: 617-983-7025 | |
Wanda Lopez-rodriguez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3297 Washington Street, Brookside Community Health Center, Jamaica Plain, MA 02130 Phone: 617-522-4700 | |
Dr. Jessica R Roth, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 75 Bickford St, Jamaica Plain, MA 02130 Phone: 617-971-2100 | |
Anne Margaret Welch-cameron, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3297 Washington St, Jamaica Plain, MA 02130 Phone: 617-522-4700 | |
Nuria R Gine-nokes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3297 Washington Street, Brookside Community Health Center, Jamaica Plain, MA 02130 Phone: 617-522-4700 | |
Alexandra A Epee-bounya, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Martha Eliot Health Center, 75 Bickford Street, Jamaica Plain, MA 02130 Phone: 617-971-2137 |