Dr Richard Royce Wilson, MD | |
245 Madison St, Clarendon, AR 72029-2706 | |
(870) 747-3381 | |
(870) 747-3631 |
Full Name | Dr Richard Royce Wilson |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 245 Madison St, Clarendon, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871537084 | NPI | - | NPPES |
102743001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | C5461 (Arkansas) | Primary |
Entity Name | Mid-delta Health Systems Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255346060 PECOS PAC ID: 3870574668 Enrollment ID: O20040527000492 |
Mailing Address | Practice Location Address |
---|---|
Dr Richard Royce Wilson, MD 245 Madison St, Clarendon, AR 72029-2706 Ph: (870) 747-3381 | Dr Richard Royce Wilson, MD 245 Madison St, Clarendon, AR 72029-2706 Ph: (870) 747-3381 |
Christopher P. Hopkinson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 245 Madison St, Clarendon, AR 72029 Phone: 870-747-3381 | |
Arpit R Patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 245 Madison St, Clarendon, AR 72029 Phone: 870-747-3381 Fax: 870-747-3631 | |
Dr. Sam A. Mcguire Iii, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 245 Madison St, Clarendon, AR 72029 Phone: 870-747-3381 Fax: 870-747-3631 |