Robert M Wilkinson (NPI# 1457378044, PAC ID# 1850488065) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1457378044 |
PAC ID by PECOS | 1850488065 |
Professional Enrollment ID | I20071106000093 |
Full Name | Robert M Wilkinson |
Organization Legal Name | TRI-RIVERS HEALTHCARE PLLC |
Address |
205 E Adair St Smithland KY 42081-9164 |
Phone Number | 2709282146 |
Gender | M |
Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1996 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 8426965278 |
Number of Group Practice Members | 10 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
150001 | JOHNSON MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
1125 W Jefferson St, Franklin, IN 46131-2140 | 3177363588 | JOHNSON MEMORIAL HOSPITAL |
205 E Adair St, Smithland, KY 42081-9164 | 2709282146 | TRI-RIVERS HEALTHCARE PLLC |
Organization Legal Name | TRI-RIVERS HEALTHCARE PLLC |
Physicians | 10 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jessica Y Harris | Nurse Practitioner | Tri-rivers Healthcare Pllc | 141 Hospital Dr, Suite 103, Salem, KY 42078-8043 |
William Barnes | General Practice | Tri-rivers Healthcare Pllc | 110 Country Club Dr, Marion, KY 42064-1873 |
Ghassan Yazigi | Internal Medicine | Tri-rivers Healthcare Pllc | 308 S Main St, Marion, KY 42064-1545 |
Justin J Lewis | Physician Assistant | Tri-rivers Healthcare Pllc | 308 S Main St, Marion, KY 42064-1545 |
Terry W Boone | Physician Assistant | Tri-rivers Healthcare Pllc | 308 S Main St, Marion, KY 42064-1545 |
Kara Ann Phillips | Nurse Practitioner | Tri-rivers Healthcare Pllc | 141 Hospital Dr, Suite 102, Salem, KY 42078-8043 |
Demetrius Patton | General Surgery | Tri-rivers Healthcare Pllc | 110 Country Club Dr, Marion, KY 42064-1873 |
Stephanie L Mundy | Nurse Practitioner | Tri-rivers Healthcare Pllc | 308 S Main St, Marion, KY 42064-1545 |
Samantha N Greer | Nurse Practitioner | Tri-rivers Healthcare Pllc | 141 Hospital Dr, Suite 103, Salem, KY 42078-8043 |
Street Address |
205 E ADAIR ST |
City | SMITHLAND |
State | KY |
Zip | 42081-9164 |
City | SMITHLAND |
Zip Code | 42081 |
Specialty | NURSE PRACTITIONER |
City + Specialty | SMITHLAND + NURSE PRACTITIONER |
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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.