Philip Joseph Wilson Iii, DO | |
1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | |
(573) 556-7709 | |
(573) 556-1709 |
Full Name | Philip Joseph Wilson Iii |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 11 Years |
Location | 1241 W Stadium Blvd, Jefferson City, Missouri |
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 |
---|---|---|---|
1962842476 | NPI | - | NPPES |
200029781 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 2017021706 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Capitol Eye Care, Inc. | 3072613785 | 6 |
Entity Name | Capitol Eye Care, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033239215 PECOS PAC ID: 3072613785 Enrollment ID: O20070711000079 |
Mailing Address | Practice Location Address |
---|---|
Philip Joseph Wilson Iii, DO 1241 W. Stadium Blvd., Jefferson City, MO 65109-6023 Ph: (573) 556-7709 | Philip Joseph Wilson Iii, DO 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 Ph: (573) 556-7709 |
Dr. Philip J. Wilson Ii, D.O. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-556-7709 Fax: 573-556-1709 | |
Dr. Robert P. Wankum, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-556-7709 Fax: 573-556-1709 | |
Bradley Edward Talley, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1705 Christy Dr, Ste. 101, Jefferson City, MO 65101 Phone: 573-635-0115 Fax: 573-635-0116 | |
Larry K Stauffer, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1432 Southwest Blvd, Jefferson City, MO 65109 Phone: 573-632-5576 Fax: 573-632-5860 | |
Dr. Andrew L. Weiss, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-556-7709 Fax: 573-556-1709 |