Mitchell Jay Wilson, MD | |
707 Old Dalton Ellijay Rd, Chatsworth, GA 30705-2029 | |
(706) 517-2030 | |
(706) 517-2076 |
Full Name | Mitchell Jay Wilson |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 31 Years |
Location | 707 Old Dalton Ellijay Rd, Chatsworth, Georgia |
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 |
---|---|---|---|
1740220920 | NPI | - | NPPES |
248099221D | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 061188 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Hospital | Augusta, GA | Hospital |
Aiken Regional Medical Center | Aiken, SC | Hospital |
University Mcduffie County Regional Medical Center | Thomson, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hospital Physician Services - Southeast Professional Corporation | 5597774554 | 663 |
Anemonefish Inpatient Services Llc | 7012236664 | 34 |
Entity Name | Hamilton Medical Center, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528056066 PECOS PAC ID: 0446151179 Enrollment ID: O20040116000053 |
Entity Name | Georgia Inpatient Medicine Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558314112 PECOS PAC ID: 5496645525 Enrollment ID: O20040319001105 |
Entity Name | Hospital Physician Services - Southeast Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545 |
Entity Name | Anemonefish Inpatient Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033514716 PECOS PAC ID: 7012236664 Enrollment ID: O20150501001344 |
Entity Name | Muscogee Hospitalist Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639681851 PECOS PAC ID: 8921368564 Enrollment ID: O20180130003094 |
Entity Name | Benning Hospitalist Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215442173 PECOS PAC ID: 5698038479 Enrollment ID: O20180409000613 |
Entity Name | Allatoona Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497482350 PECOS PAC ID: 7517342579 Enrollment ID: O20220913000203 |
Mailing Address | Practice Location Address |
---|---|
Mitchell Jay Wilson, MD P.o. Box 12938, C/o Clinic Management, Calhoun, GA 30703 Ph: () - | Mitchell Jay Wilson, MD 707 Old Dalton Ellijay Rd, Chatsworth, GA 30705-2029 Ph: (706) 517-2030 |
Tommy D Bledsoe, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Gi Maddox Pkwy, Chatsworth, GA 30705 Phone: 706-695-1992 Fax: 866-348-6516 | |
Dr. Deidre Pierce, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Gi Maddox Pkwy, Chatsworth, GA 30705 Phone: 706-695-1992 | |
Mr. Jaime F Recasens, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1008 N 3rd Ave, Chatsworth, GA 30705 Phone: 706-517-2273 Fax: 706-517-2469 | |
Lisa Counsell, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 707 Old Dalton Ellijay Rd, Chatsworth, GA 30705 Phone: 706-517-2030 Fax: 706-517-2076 | |
James Daniel Loughridge, Internal Medicine Medicare: Medicare Enrolled Practice Location: 104 Hospital Dr, Chatsworth, GA 30705 Phone: 706-695-1820 | |
Dr. Charles C Burke, M. D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1008 N. 3rd Ave, Chatsworth, GA 30705 Phone: 718-471-0700 Fax: 718-471-0055 |