| Jeffrey C. Wilson, Md, Rp Llc | |
|
1151 Freeport Rd #391 Pittsburgh PA 15238-3103 | |
| (412) 781-3578 | |
| Not Available |
| Full Name | Jeffrey C. Wilson, Md, Rp Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1151 Freeport Rd, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Jeffrey C Wilson (OWNER) |
| Authorized Official Contact | 4127219050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey C. Wilson, Md, Rp Llc 530 Brookdale Dr Pittsburgh PA 15215-1018 Ph: (412) 721-9050 | Jeffrey C. Wilson, Md, Rp Llc 1151 Freeport Rd #391 Pittsburgh PA 15238-3103 Ph: (412) 781-3578 |
| NPI Number | 1225576168 |
|---|---|
| Provider Enumeration Date | 02/10/2017 |
| Last Update Date | 02/13/2024 |
| Certification Date | 02/10/2024 |
| Medicare PECOS PAC ID | 6204112568 |
|---|---|
| Medicare Enrollment ID | O20170421000269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225576168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD030440E (Pennsylvania) | Primary |
| Provider Name | Jeffrey C Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992774053 PECOS PAC ID: 9335334762 Enrollment ID: I20101111000555 |
| Provider Name | Rose S Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295493500 PECOS PAC ID: 0042686842 Enrollment ID: I20221019002121 |
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