Dr Timothy Andrew Wilson, MD | |
1 Childrens Pl, Dept Emergency Medicine, Saint Louis, MO 63110-1002 | |
(314) 454-6000 | |
(314) 747-3338 |
Full Name | Dr Timothy Andrew Wilson |
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Gender | Male |
Speciality | Emergency Medicine - Pediatric Emergency Medicine |
Location | 1 Childrens Pl, Saint Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457871006 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2020012908 (Missouri) | Secondary |
207PP0204X | Emergency Medicine - Pediatric Emergency Medicine | 2020012908 (Missouri) | Primary |
Entity Name | Washington University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194765685 PECOS PAC ID: 9830008770 Enrollment ID: O20040607000287 |
Mailing Address | Practice Location Address |
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Dr Timothy Andrew Wilson, MD 1 Childrens Pl, Msc 8515-87-1200, Saint Louis, MO 63110-1002 Ph: (314) 454-2779 | Dr Timothy Andrew Wilson, MD 1 Childrens Pl, Dept Emergency Medicine, Saint Louis, MO 63110-1002 Ph: (314) 454-6000 |
Sean Oliver Cavanaugh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 660 S Euclid Ave # 8072, Washington University Emergency Medicine, Saint Louis, MO 63110 Phone: 314-362-9177 | |
John Verhey, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 Phone: 314-362-9177 | |
Dr. Mackenzie Ann Mcknight, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 Phone: 314-362-9177 | |
Nagla Abdelmalek, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 11133 Dunn Rd, Saint Louis, MO 63136 Phone: 314-653-5663 | |
Dr. Jose I Alvarez, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6150 Oakland Ave, Saint Louis, MO 63139 Phone: 314-768-3090 Fax: 314-768-3031 | |
Addie Burtle, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-362-9177 | |
Rahul Gupta, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10010 Kennerly Rd, Saint Louis, MO 63128 Phone: 314-525-1906 |