Robert A Wilson, MD | |
717 N Howe St, Southport, NC 28461-3459 | |
(910) 363-5075 | |
(910) 363-5074 |
Full Name | Robert A Wilson |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 717 N Howe St, Southport, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629189279 | NPI | - | NPPES |
128FT | Other | NC | BCBS PROVIDER NUMBER |
89128FT | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | NC3312 (North Carolina) | Primary |
Entity Name | Goshen Medical Center Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023424686 PECOS PAC ID: 3173434479 Enrollment ID: O20040102000726 |
Entity Name | Rutherford Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841593647 PECOS PAC ID: 2961681184 Enrollment ID: O20110120000395 |
Mailing Address | Practice Location Address |
---|---|
Robert A Wilson, MD 717 N Howe St, Southport, NC 28461-3459 Ph: (910) 363-5095 | Robert A Wilson, MD 717 N Howe St, Southport, NC 28461-3459 Ph: (910) 363-5075 |
Dr. John D Irvin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4654 Long Beach Rd Se, Southport, NC 28461 Phone: 910-457-9564 Fax: 910-457-6744 | |
Dr. Donald Edward Binz Ii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3599 George Ii Hwy, Southport, NC 28461 Phone: 910-845-3244 Fax: 910-845-3276 | |
Tori Asbury, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1456 Howe Street, Suite 201, Southport, NC 28461 Phone: 910-454-4032 Fax: 910-454-4033 | |
Dr. Kristos Nektarios Vaughan, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3009 Medical Plaza Lane, Southport, NC 28461 Phone: 910-454-1234 Fax: 910-253-4934 | |
Dr. Slade Alan Suchecki, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3960 Executive Park Blvd, Suite 600, Southport, NC 28461 Phone: 910-454-4343 Fax: 910-457-9209 | |
Domenic A Palagruto, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3599 George Ii Hwy, Southport, NC 28461 Phone: 910-845-3244 Fax: 910-845-3276 | |
Rick J Hernandez, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3960 Executive Park Blvd, Suite 600, Southport, NC 28461 Phone: 910-454-4343 Fax: 910-457-9209 |