| Dr. Maggie Wilson, Pc | |
|
3900 Eubank Blvd Ne Ste 3c Albuquerque NM 87111-3427 | |
| (505) 333-9077 | |
| (505) 213-3152 |
| Full Name | Dr. Maggie Wilson, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3900 Eubank Blvd Ne Ste 3c, Albuquerque, New Mexico |
| Authorized Official Name and Position | Margaret Wilson (PRESIDENT) |
| Authorized Official Contact | 5055734951 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Maggie Wilson, Pc 3900 Eubank Blvd Ne Ste 3c Albuquerque NM 87111-3427 Ph: (505) 333-9077 | Dr. Maggie Wilson, Pc 3900 Eubank Blvd Ne Ste 3c Albuquerque NM 87111-3427 Ph: (505) 333-9077 |
| NPI Number | 1740898428 |
|---|---|
| Provider Enumeration Date | 07/17/2020 |
| Last Update Date | 04/23/2021 |
| Medicare PECOS PAC ID | 1850719758 |
|---|---|
| Medicare Enrollment ID | O20200909001553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740898428 | NPI | - | NPPES |
| 14231344 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Margaret Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073774576 PECOS PAC ID: 7315112349 Enrollment ID: I20111202000408 |
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