Jason Wilson, MD | |
1 Davis Blvd, Tampa, FL 33606-3463 | |
(813) 843-2110 | |
Not Available |
Full Name | Jason Wilson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1 Davis Blvd, Tampa, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811159452 | NPI | - | NPPES |
14E16 | Other | FL | BSFL |
003616000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | ME105890 (Florida) | Primary |
Entity Name | Inphynet Contracting Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073556767 PECOS PAC ID: 7416865811 Enrollment ID: O20031105000125 |
Entity Name | University Medical Service Association Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992742324 PECOS PAC ID: 6800790221 Enrollment ID: O20031126000130 |
Entity Name | Emergency Services Of Zephyrhills Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265631097 PECOS PAC ID: 6204924921 Enrollment ID: O20071114000131 |
Mailing Address | Practice Location Address |
---|---|
Jason Wilson, MD 2540 W Maryland Ave, Tampa, FL 33629-6233 Ph: (813) 843-2110 | Jason Wilson, MD 1 Davis Blvd, Tampa, FL 33606-3463 Ph: (813) 843-2110 |
Jennifer Darlene Tiller, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2727 W Dr Martin Luther King Jr Blvd, Suite 300, Tampa, FL 33607 Phone: 813-874-5707 | |
Habib H. Karkavandian, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12187 W Linebaugh Ave, Tampa, FL 33626 Phone: 813-814-4900 | |
Kaivon Madani, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Columbia Dr, J402, Tampa, FL 33606 Phone: 813-844-7412 | |
Dr. Paul Carl Prator, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3100 E Fletcher Ave, Tampa, FL 33613 Phone: 813-971-6000 Fax: 813-615-7590 | |
Dr. Diana R Carbonero-camuzzi, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Columbia Dr, Tampa, FL 33606 Phone: 813-844-7000 | |
Deborah Ml Repaskey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, J402, Tampa, FL 33606 Phone: 813-844-7412 | |
Mr. Reginald Saint-hilaire, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, Tampa, FL 33606 Phone: 813-844-7000 |