| Gary Mark Wilson, NP | |
|
4901 E Johnson Ave, Jonesboro, AR 72405-8417 | |
| (870) 936-8000 | |
| (870) 934-3659 |
| Full Name | Gary Mark Wilson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 4901 E Johnson Ave, Jonesboro, Arkansas |
| 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 |
|---|---|---|---|
| 1962844522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2013026042 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | A004043 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Bernards Medical Center | Jonesboro, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Bernards Physician Clinics Inc | 7012311269 | 173 |
| St Bernards Physician Clinics Inc | 7012311269 | 173 |
| Entity Name | St Bernards Physician Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407577216 PECOS PAC ID: 7012311269 Enrollment ID: O20230105000547 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Mark Wilson, NP Po Box 1960, Jonesboro, AR 72403-1960 Ph: (870) 936-8000 | Gary Mark Wilson, NP 4901 E Johnson Ave, Jonesboro, AR 72405-8417 Ph: (870) 936-8000 |
Mrs. Renata Jane Vaughn, APN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1530 N Church St, Jonesboro, AR 72401 Phone: 870-802-3590 Fax: 870-327-7970 | |
Sandra Troxel, DNP/APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2816 Fox Meadow Ln, Jonesboro, AR 72404 Phone: 870-336-1675 | |
Jesse Ash, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-207-4100 | |
Ms. Amy Mary Elizabeth Daughhetee, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 East Washington Ave, Jonesboro, AR 72401 Phone: 870-207-4100 | |
Candice Brianne Burnside, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-207-1630 | |
Heather Stallings, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1021 Neil Dr, Jonesboro, AR 72401 Phone: 870-898-0088 | |
Katie J Hutton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Carson St, Jonesboro, AR 72401 Phone: 870-910-7726 |