| Dr Bradley C Wilson Inc | |
|
7756 St Rt 37 East New Lexington OH 43764 | |
| (740) 342-3540 | |
| (740) 342-3879 |
| Full Name | Dr Bradley C Wilson Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 7756 St Rt 37 East, New Lexington, Ohio |
| Authorized Official Name and Position | Bradley C Wilson (PRESIDENT) |
| Authorized Official Contact | 7403423540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bradley C Wilson Inc Po Box 550 Lancaster OH 43130-0550 Ph: (740) 687-5164 | Dr Bradley C Wilson Inc 7756 St Rt 37 East New Lexington OH 43764 Ph: (740) 342-3540 |
| NPI Number | 1164577367 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 11/18/2009 |
| Medicare PECOS PAC ID | 9335155332 |
|---|---|
| Medicare Enrollment ID | O20100323000427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164577367 | NPI | - | NPPES |
| 2973215 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34004144 (Ohio) | Primary |
| Provider Name | Bradley C Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225020878 PECOS PAC ID: 4789690785 Enrollment ID: I20100323000399 |
Perry County Family Practice, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1625 Airport Rd, New Lexington, OH 43764 Phone: 740-342-5158 Fax: 740-342-7393 | |
Jdc Medical Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1625 Airport Rd, New Lexington, OH 43764 Phone: 740-342-5158 Fax: 740-342-6702 | |
Perry County Family Practice, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1625 Airport Rd, New Lexington, OH 43764 Phone: 740-342-5158 Fax: 740-342-7393 | |
Jeffrey J. Haggenjos, D.o., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 Lincoln Park Dr, Suite A, New Lexington, OH 43764 Phone: 740-343-4447 Fax: 740-343-4451 | |
Perry County Family Practice, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1625 Airport Rd, New Lexington, OH 43764 Phone: 740-342-5158 Fax: 740-342-7393 | |
Lyons Primary Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 W Water St, New Lexington, OH 43764 Phone: 740-343-0450 |