Dr Richard C Wilson, DPM | |
1515 Dr Martin Luther King Jr Blvd, Melbourne, FL 32901-2946 | |
(321) 723-3500 | |
(321) 723-1945 |
Full Name | Dr Richard C Wilson |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 44 Years |
Location | 1515 Dr Martin Luther King Jr Blvd, Melbourne, Florida |
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 |
---|---|---|---|
1972587350 | NPI | - | NPPES |
041009800 | Medicaid | FL | |
87733 | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 421 (Colorado) | Secondary |
213E00000X | Podiatrist | 016003144 (Illinois) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | PO1322 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Holmes Regional Medical Center | Melbourne, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Briant G Moyles Dpm Pa | 2769567882 | 4 |
Provider Name | Briant G Moyles Dpm Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174506877 PECOS PAC ID: 2769567882 Enrollment ID: O20080312000659 |
Mailing Address | Practice Location Address |
---|---|
Dr Richard C Wilson, DPM 1515 Dr Martin Luther King Jr Blvd, Melbourne, FL 32901-2946 Ph: (321) 723-3500 | Dr Richard C Wilson, DPM 1515 Dr Martin Luther King Jr Blvd, Melbourne, FL 32901-2946 Ph: (321) 723-3500 |
Gaithe Stcyr, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771 Fax: 321-434-1775 | |
Brian J Mallette Dpm Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 200 S Harbor City Blvd, Suite302, Melbourne, FL 32901 Phone: 321-728-0117 Fax: 321-728-0151 | |
Foot And Ankle Associates Of Brevard Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4020 Fair Point Ln, Melbourne, FL 32934 Phone: 321-960-9040 | |
Claudia R Mallette Dpm Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 1555 W Nasa Blvd, Melbourne, FL 32901 Phone: 321-728-0117 Fax: 321-728-0151 | |
Melbourne Podiatry Associates Podiatrist Medicare: Medicare Enrolled Practice Location: 1515 Dr Martin Luther King Jr Blvd, Melbourne, FL 32901 Phone: 321-723-3500 Fax: 321-723-1945 | |
Dr. Thomas Charles Wilson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1515 Dr Martin Luther King Jr Blvd, Melbourne, FL 32901 Phone: 321-723-3500 Fax: 321-723-1945 | |
Melbourne Podiatry Associates Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1310 W Eau Gallie Blvd, Suite E, Melbourne, FL 32935 Phone: 321-255-3338 Fax: 321-253-9643 |