Dr Tara Beth Wilson, MD | |
501 Live Oak St, New Smyrna Beach, FL 32168-7300 | |
(386) 274-0250 | |
Not Available |
Full Name | Dr Tara Beth Wilson |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 21 Years |
Location | 501 Live Oak St, New Smyrna Beach, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922176429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 31333 (Oklahoma) | Secondary |
208600000X | Surgery | ME162877 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventhealth New Smyrna Beach | New smyrna beach, FL | Hospital |
Halifax Health Medical Center | Daytona beach, FL | Hospital |
Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Florida Surgeons Pa | 2769381391 | 231 |
Entity Name | North Florida Surgeons Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912953290 PECOS PAC ID: 2769381391 Enrollment ID: O20040102000629 |
Entity Name | North Florida Surgeons Bpci-a Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578254389 PECOS PAC ID: 7517312747 Enrollment ID: O20231009001645 |
Mailing Address | Practice Location Address |
---|---|
Dr Tara Beth Wilson, MD 1890 Lpga Blvd Ste 250, Daytona Beach, FL 32117-7131 Ph: (386) 274-0250 | Dr Tara Beth Wilson, MD 501 Live Oak St, New Smyrna Beach, FL 32168-7300 Ph: (386) 274-0250 |
Dr. Willy Alberto Bustinza Farfan, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 Palmetto St Fl 2, New Smyrna Beach, FL 32168 Phone: 386-428-8326 | |
Rebecca Ann Gill, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 Palmetto St Ste 3, New Smyrna Beach, FL 32168 Phone: 386-428-8326 Fax: 386-428-2493 | |
Dr. Jaime Alberto Rodriguez, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 406b Palmetto St, New Smyrna Beach, FL 32168 Phone: 386-427-6791 Fax: 386-427-8028 | |
Calvin Williams, Surgery Medicare: Medicare Enrolled Practice Location: 501 Live Oak St Ste B, New Smyrna Beach, FL 32168 Phone: 386-231-3600 Fax: 386-231-3600 |