Michael Anthony Wilson (NPI# 1912260662, PAC ID# 1456570928) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1912260662 |
| PAC ID by PECOS | 1456570928 |
| Professional Enrollment ID | I20140915002267 |
| Full Name | Michael Anthony Wilson |
| Organization Legal Name | ERX GROUP LLC |
| Address |
723 Burkesville Rd Albany KY 42602-1654 |
| Phone Number | 6063878000 |
| Gender | M |
| Medical School | LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT |
| Graduation Year | 2012 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 9335037571 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180106 | CLINTON COUNTY HOSPITAL, INC |
| Address | Phone | Organization |
|---|---|---|
| 723 Burkesville Rd, Albany, KY 42602-1654 | 6063878000 | ERX GROUP LLC |
| Organization Legal Name | ERX GROUP LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rogelio L Carrera | Emergency Medicine | Erx Group LLC | 3 E Benjamin Dr, New Martinsville, WV 26155-2705 |
| Khadijatu E Allen | Internal Medicine | Erx Group LLC | 302 S Wayne St, Alma, GA 31510-2922 |
| James M Seward | Family Medicine | Erx Group LLC | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| Wiley Wilson | Pediatric Medicine | Erx Group LLC | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| Richard C Houck | Emergency Medicine | Erx Group LLC | 3 E Benjamin Dr, New Martinsville, WV 26155-2705 |
| Mark A Foppe | Emergency Medicine | Erx Group LLC | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| Vijay K Mahathre | Emergency Medicine | Erx Group LLC | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| Neal W Rehberg | Family Medicine | Erx Group LLC | 3 E Benjamin Dr, New Martinsville, WV 26155-2705 |
| David L Turfler | Emergency Medicine | Erx Group LLC | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| Joseph Hugo Duvert | Internal Medicine | Erx Group LLC | 3 E Benjamin Dr, New Martinsville, WV 26155-2705 |
| Street Address |
723 BURKESVILLE RD |
| City | ALBANY |
| State | KY |
| Zip | 42602-1654 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark D Nowell | Emergency Medicine | Southeastern Physician Services PC | 723 Burkesville Rd, Albany, KY 42602-1654 |
| Phillip M Keeley | Family Medicine | Southeastern Physician Services PC | 723 Burkesville Rd, Albany, KY 42602-1654 |
| Cory Ryan | Emergency Medicine | Southeastern Physician Services PC | 723 Burkesville Rd, Albany, KY 42602-1654 |
| Burton C Brooks | Family Medicine | Southeastern Physician Services PC | 723 Burkesville Rd, Albany, KY 42602-1654 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lacosta S Carver | Nurse Practitioner | Cumberland Family Medical Center, Inc. | 127 Foothills Ave, Suite 1, Albany, KY 42602-1037 |
| Terri Susanne Lee | Optometry | Associates In Eye Care, Inc. | 127 Foothills Ave, Suite 3, Albany, KY 42602-1090 |
| Michael Osborne | Chiropractic | 214 S Washington St, Albany, KY 42602-1226 | |
| Carol Bertram Peddicord | Family Medicine | 102 N Washington St, Albany, KY 42602-1302 | |
| Anthony C Carter | Geriatric Medicine | William Calvin Powell, Md Psc | 106 N Cross St, Albany, KY 42602-1416 |
| Ashley Dawn Logan | Nurse Practitioner | William Calvin Powell, Md Psc | 106 N Cross St, Albany, KY 42602-1416 |
| William Calvin Powell | Family Practice | William Calvin Powell, Md Psc | 106 N Cross St, Albany, KY 42602-1416 |
| Kimberly S Evans | Nurse Practitioner | Cumberland Family Medical Center, Inc. | 606 Burkesville Rd, Albany, KY 42602-1612 |
| Tammy L Brown | Family Medicine | Cumberland Family Medical Center, Inc. | 606 Burkesville Rd, Albany, KY 42602-1612 |
| Carol Denney | Nurse Practitioner | Cumberland Family Medical Center, Inc. | 606 Burkesville Rd, Albany, KY 42602-1612 |
| Find all physicians in zip 42602 | |||
| City | ALBANY |
| Zip Code | 42602 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | ALBANY + EMERGENCY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.