Neil E Wilson, MD | |
7000 Boulder Ave, Highland, CA 92346-3348 | |
(909) 862-1191 | |
(909) 796-4158 |
Full Name | Neil E Wilson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 7000 Boulder Ave, Highland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568401131 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G38073 (California) | Primary |
Entity Name | Beaver Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449 |
Mailing Address | Practice Location Address |
---|---|
Neil E Wilson, MD Po Box 2200, Redlands, CA 92373-0722 Ph: (909) 793-3311 | Neil E Wilson, MD 7000 Boulder Ave, Highland, CA 92346-3348 Ph: (909) 862-1191 |
Dr. Shahnam Nami Bahrami, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7237 Cedarwood Pl, Highland, CA 92346 Phone: 818-618-9204 Fax: 920-320-5106 | |
Larry A Park, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 Fax: 909-796-4158 | |
Douglas Carl Spieske, M.D Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 Fax: 909-864-4269 | |
Jin Rian Kim, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 Fax: 909-793-2916 | |
Rene A Madera-font, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 | |
Dr. Mohammed K Elsayed, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 |