Misti H Wilson, MD | |
601 Watkins Centre Pkwy, Suite 200, Midlothian, VA 23114-0002 | |
(804) 594-3130 | |
(804) 423-6517 |
Full Name | Misti H Wilson |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 18 Years |
Location | 601 Watkins Centre Pkwy, Midlothian, Virginia |
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 |
---|---|---|---|
1407035629 | NPI | - | NPPES |
C09633 | Other | VA | GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086X0206X | Surgery - Surgical Oncology | E-7047 (Arkansas) | Secondary |
208600000X | Surgery | 0101254102 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bon Secours St Marys Hospital | Richmond, VA | Hospital |
Bon Secours Memorial Regional Medical Center | Mechanicsville, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bon Secours Medical Group Richmond Specialty Care Llc | 8022440056 | 250 |
Entity Name | Bon Secours Medical Group Richmond Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477112225 PECOS PAC ID: 8022440056 Enrollment ID: O20191113002170 |
Mailing Address | Practice Location Address |
---|---|
Misti H Wilson, MD 601 Watkins Centre Pkwy, Suite 200, Midlothian, VA 23114-0002 Ph: (804) 594-3130 | Misti H Wilson, MD 601 Watkins Centre Pkwy, Suite 200, Midlothian, VA 23114-0002 Ph: (804) 594-3130 |
James V Pellicane Jr., MD, FACS Surgery Medicare: Accepting Medicare Assignments Practice Location: 14051 St Francis Blvd, Suite 2210, Midlothian, VA 23114 Phone: 804-594-3130 Fax: 804-594-3030 | |
Mindi Ilene Meyers, LSA, CSFA, CST Surgery Medicare: Not Enrolled in Medicare Practice Location: 13700 St Francis Blvd, Midlothian, VA 23114 Phone: 804-594-3050 Fax: 804-594-3058 | |
Connie Lynn Speicher, LSA Surgery Medicare: Not Enrolled in Medicare Practice Location: 13710 St Francis Blvd, Midlothian, VA 23114 Phone: 804-594-3050 | |
Polly Laura Stephens, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 Watkins Centre Parkway, Suite 200, Midlothian, VA 23114 Phone: 804-594-3130 Fax: 804-423-6517 | |
Dr. Lawrence William Gooss Iv, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 14415 Justice Rd, Midlothian, VA 23113 Phone: 804-594-0125 Fax: 804-594-0126 | |
Joseph Karch, MD, PHD Surgery Medicare: Accepting Medicare Assignments Practice Location: 13700 St Francis Blvd, Suite 511, Midlothian, VA 23114 Phone: 804-423-8467 Fax: 804-726-1539 |