James Dylan Wilson, APRN | |
530 S Jackson St, Louisville, KY 40202-1675 | |
(502) 852-5851 | |
(502) 852-3762 |
Full Name | James Dylan Wilson |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 530 S Jackson St, Louisville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639818602 | NPI | - | NPPES |
300063916 | Medicaid | IN | |
7100824560 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 137171 (Kentucky) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 3017833 (Kentucky) | Primary |
Entity Name | University Of Louisville Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036 |
Mailing Address | Practice Location Address |
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James Dylan Wilson, APRN Po Box 909, Louisville, KY 40201-0909 Ph: (502) 588-0328 | James Dylan Wilson, APRN 530 S Jackson St, Louisville, KY 40202-1675 Ph: (502) 852-5851 |
Benjamin Martin Choi Sampedro, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 E Chestnut St, Louisville, KY 40202 Phone: 214-687-0001 | |
Mrs. Shelby Victoria Cofer, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-562-3000 | |
Marian Antonette Cochiaosue-avery, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-1735 Fax: 502-852-6056 | |
Jessica Earline Luvisi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 231 E Chestnut St, Louisville, KY 40202 Phone: 502-629-6000 | |
Chad Riddle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4034 Saint Ives Ct, Louisville, KY 40207 Phone: 502-640-8349 Fax: 502-749-9202 | |
Mr. Scott M. Beyl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-6901 Fax: 502-852-6056 | |
Lauren Elise Coles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-1735 Fax: 502-852-6056 |