Mr Frederick Charles Wilson, PT ATC is a
Specialist/technologist - Athletic Trainer based in Independence, Missouri. Mr Frederick Charles Wilson is licensed to practice in Missouri (license number 00156) and his current practice location is
18905 E 33rd Street Ct S, Independence, Missouri. He can be reached at his office (for appointments etc.) via phone at
(816) 589-0100.
NPI number for Mr Frederick Charles Wilson is 1558330886 and his current mailing address is 18905 E 33rd Street Ct S, Independence, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558330886.
Healthcare Provider's Profile
Full Name | Mr Frederick Charles Wilson |
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Gender | Male |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 18905 E 33rd Street Ct S, Independence, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558330886
- Provider Enumeration Date: 03/17/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Frederick Charles Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558330886 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 107962 (Missouri) | Primary |
2255A2300X | Specialist/technologist - Athletic Trainer | 00156 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Frederick Charles Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Frederick Charles Wilson, PT ATC 18905 E 33rd Street Ct S, Independence, MO 64057-3336 Ph: (816) 795-6118 | Mr Frederick Charles Wilson, PT ATC 18905 E 33rd Street Ct S, Independence, MO 64057-3336 Ph: (816) 589-0100 |
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