Preston Jon Wilson, DO | |
8846 S Redwood Rd Ste E121, West Jordan, UT 84088-9366 | |
(801) 569-1999 | |
(801) 569-2001 |
Full Name | Preston Jon Wilson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 15 Years |
Location | 8846 S Redwood Rd Ste E121, West Jordan, Utah |
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 |
---|---|---|---|
1952538605 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 125-056771 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lone Peak Hospital | Draper, UT | Hospital |
St Mark's Hospital | Salt lake city, UT | Hospital |
Jordan Valley Medical Center | West jordan, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountainstar Medical Group-st. Marks Hospital Llc | 1557443322 | 17 |
Entity Name | Mountainstar Medical Group-st. Marks Hospital Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073795258 PECOS PAC ID: 1557443322 Enrollment ID: O20080201000093 |
Mailing Address | Practice Location Address |
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Preston Jon Wilson, DO Po Box 198560, Atlanta, GA 30384-8560 Ph: (801) 576-8855 | Preston Jon Wilson, DO 8846 S Redwood Rd Ste E121, West Jordan, UT 84088-9366 Ph: (801) 569-1999 |
Zachary John Hansen, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3181 W 9000 S, West Jordan, UT 84088 Phone: 801-965-3600 | |
Suzan Marie Curtis, NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1829 W 7600 S Apt G202, West Jordan, UT 84084 Phone: 801-608-5195 | |
Maria A Oneida, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3570 W 9000 S, Ste 200, West Jordan, UT 84088 Phone: 801-566-9211 Fax: 801-566-5667 | |
James S Coy, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2751 W 9000 S, West Jordan, UT 84088 Phone: 801-352-5900 Fax: 801-352-5914 | |
Eric R. Grover, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 W 9000 S, West Jordan, UT 84088 Phone: 801-352-5900 Fax: 801-352-5914 | |
Michael J Sanderson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 W 9000 S, West Jordan, UT 84088 Phone: 801-965-3600 | |
Maurine M. Cobabe, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2655 W 9000 S, West Jordan, UT 84088 Phone: 801-256-6343 |