William M Wilson, MD | |
2755 Herndon Ave, Clovis, CA 93611-6800 | |
(559) 324-4000 | |
Not Available |
Full Name | William M Wilson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 2755 Herndon Ave, Clovis, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285686030 | NPI | - | NPPES |
00A36960 | Medicaid | CA | |
00A369600 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A36960 (California) | Primary |
Entity Name | Cep America - California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
Mailing Address | Practice Location Address |
---|---|
William M Wilson, MD Po Box 11259, Westminster, CA 92685-1259 Ph: (866) 675-9441 | William M Wilson, MD 2755 Herndon Ave, Clovis, CA 93611-6800 Ph: (559) 324-4000 |
Michael D Alch, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2755 Herndon St, Clovis, CA 93611 Phone: 559-324-4040 | |
John W. Graneto, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 120 N Clovis Ave, Clovis, CA 93612 Phone: 559-325-3600 | |
Douglas P Kerr, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2021 Herndon Ave, # 101, Clovis, CA 93611 Phone: 559-981-5566 Fax: 559-321-8730 | |
Robert K Grazier, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2755 Herndon Avenue, Clovis, CA 93611 Phone: 559-324-4000 | |
Richard J Geller, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2755 Herndon Ave, Clovis, CA 93611 Phone: 559-324-4000 | |
Dr. James Gilbert Osborne Jr., M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2755 Herndon Ave, Clovis, CA 93611 Phone: 559-324-4040 |