Lara Corbett Wilson, MD | |
851 Leonard Fulghum Blvd, Suite 201, Mt Pleasant, SC 29464-3787 | |
(843) 884-5133 | |
(843) 849-3343 |
Full Name | Lara Corbett Wilson |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 30 Years |
Location | 851 Leonard Fulghum Blvd, Mt Pleasant, South Carolina |
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 |
---|---|---|---|
1649233412 | NPI | - | NPPES |
T42692 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 20495 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bon Secours-st Francis Xavier Hospital | Charleston, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
East Cooper Physician Group Llc | 1254775687 | 64 |
Entity Name | East Cooper Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861253981 PECOS PAC ID: 1254775687 Enrollment ID: O20240214000176 |
Mailing Address | Practice Location Address |
---|---|
Lara Corbett Wilson, MD 851 Leonard Fulghum Blvd, Suite 201, Mt Pleasant, SC 29464-3787 Ph: (843) 884-5133 | Lara Corbett Wilson, MD 851 Leonard Fulghum Blvd, Suite 201, Mt Pleasant, SC 29464-3787 Ph: (843) 884-5133 |
Maggie Wolman Evans, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 851 Leonard Fulghum Blvd, Suite 201, Mt Pleasant, SC 29464 Phone: 843-884-5133 Fax: 843-849-3343 | |
Bridget Talbot Williamson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 851 Leonard Fulghum Dr, Suite 200, Mt Pleasant, SC 29464 Phone: 843-856-3262 | |
Natalie Gregory, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 851 Leonard Fulghum Blvd, Suite 201, Mt Pleasant, SC 29464 Phone: 843-884-5133 Fax: 843-849-3343 | |
Mr. Michael J Slowey, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1375 Hospital Dr, Mt Pleasant, SC 29464 Phone: 843-883-5800 Fax: 843-881-0362 | |
Mary Theresa Joseph, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 851 Leonard Fulghum Blvd, Suite 201, Mt Pleasant, SC 29464 Phone: 843-884-5133 Fax: 843-849-3343 | |
Toya Pound, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 851 Leonard Fulghum Dr, Suite 200, Mt Pleasant, SC 29464 Phone: 843-856-3262 | |
Mrs. Heather M Cook, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1375 Hospital Drive, Mt Pleasant, SC 29464 Phone: 843-883-5800 Fax: 843-606-3937 |