Dr William Pd Wilson Iii, MD | |
2860 Channing Way, Suite 112, Idaho Falls, ID 83404-7531 | |
(208) 524-4381 | |
(208) 523-6477 |
Full Name | Dr William Pd Wilson Iii |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 42 Years |
Location | 2860 Channing Way, Idaho Falls, Idaho |
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 |
---|---|---|---|
1447368758 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | M-5527 (Idaho) | Primary |
2082S0105X | Plastic Surgery - Surgery Of The Hand | M-5527 (Idaho) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
Mountain View Hospital | Idaho falls, ID | Hospital |
Entity Name | William Wilson, Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457732000 PECOS PAC ID: 3274844428 Enrollment ID: O20150615002676 |
Mailing Address | Practice Location Address |
---|---|
Dr William Pd Wilson Iii, MD 2860 Channing Way, Suite 112, Idaho Falls, ID 83404-7531 Ph: (208) 524-4381 | Dr William Pd Wilson Iii, MD 2860 Channing Way, Suite 112, Idaho Falls, ID 83404-7531 Ph: (208) 524-4381 |
Dr. Jhade Woodall, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 3200 Channing Way Ste 206, Idaho Falls, ID 83404 Phone: 208-529-2230 Fax: 208-453-6142 | |
Nicholas Bradford Johnson, Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3200 Channing Way Ste 206, Idaho Falls, ID 83404 Phone: 208-529-2230 Fax: 208-453-6142 |