Patricia M Wilson, | |
3333 N Seminary St, Galesburg, IL 61401-1251 | |
(309) 344-3161 | |
(309) 344-9498 |
Full Name | Patricia M Wilson |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 17 Years |
Location | 3333 N Seminary St, Galesburg, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003081662 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 041366087 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Regional Medical Center Bayonet Point | Hudson, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ams National Llc | 3870813025 | 209 |
Sunshine State Anesthesia Partners Llc | 8123434792 | 365 |
Entity Name | St Lucie Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700044252 PECOS PAC ID: 4284792706 Enrollment ID: O20081027000765 |
Entity Name | Ams National Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316330830 PECOS PAC ID: 3870813025 Enrollment ID: O20150529000613 |
Entity Name | Sunshine State Anesthesia Partners Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437757127 PECOS PAC ID: 8123434792 Enrollment ID: O20210305000003 |
Mailing Address | Practice Location Address |
---|---|
Patricia M Wilson, 3333 N Seminary St, Galesburg, IL 61401-1251 Ph: (309) 344-3161 | Patricia M Wilson, 3333 N Seminary St, Galesburg, IL 61401-1251 Ph: (309) 344-3161 |
Ann Weik, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-3161 | |
Timothy F Sullivan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 695 N Kellogg St, Galesburg, IL 61401 Phone: 309-434-8131 | |
Mr. Nicholas Becker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-3161 Fax: 309-344-9498 | |
Jill D Whiteside, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-3161 Fax: 309-344-9498 | |
Ryan James Bonham, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 695 N Kellogg St, Galesburg, IL 61401 Phone: 309-343-8131 | |
Christine Fredrickson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-3161 |