Wanda Gayle Wilson, DO | |
3559 Amazonas St, Jefferson City, MO 65109 | |
(573) 893-7848 | |
(573) 893-1984 |
Full Name | Wanda Gayle Wilson |
---|---|
Gender | Female |
Speciality | General Practice |
Location | 3559 Amazonas St, Jefferson City, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033182118 | NPI | - | NPPES |
9183317004 | Other | CIGNA | |
P00200365 | Other | RR MEDICARE | |
185418 | Other | BCBS | |
241488329 | Medicaid | MO | |
829180 | Other | FIRST HEALTH | |
D41738 | Other | MERCY | |
251463 | Other | HEALTHLINK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | R8779 (Missouri) | Primary |
Mailing Address | Practice Location Address |
---|---|
Wanda Gayle Wilson, DO 3559 Amazonas St, Health Branch West, Jefferson City, MO 65109 Ph: (573) 893-7848 | Wanda Gayle Wilson, DO 3559 Amazonas St, Jefferson City, MO 65109 Ph: (573) 893-7848 |
Mark Christopher Link, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1002 Diamond Rdg, Suite 200, Jefferson City, MO 65109 Phone: 573-632-5585 Fax: 573-634-2978 | |
Carey Diana Vaughan, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: 1014 Madison St, Jefferson City, MO 65101 Phone: 573-644-6999 Fax: 573-644-7880 |