Brett L Wilson (NPI# 1194726307, PAC ID# 3577510429) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1194726307 |
| PAC ID by PECOS | 3577510429 |
| Professional Enrollment ID | I20090812000161 |
| Full Name | Brett L Wilson |
| Organization Legal Name | NEW LIBERTY HOSPITAL CORPORATION |
| Address |
305 S Platte Clay Way The Kearney Clinic Kearney MO 64060-8214 |
| Phone Number | 8166284409 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1986 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9931166618 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260177 | NEW LIBERTY HOSPITAL DISTRICT |
| Address | Phone | Organization |
|---|---|---|
| 305 S Platte Clay Way, The Kearney Clinic, Kearney, MO 64060-8214 | 8166284409 | NEW LIBERTY HOSPITAL CORPORATION |
| 2521 Glenn Hendren Dr, Liberty, MO 64068-3388 | NEW LIBERTY HOSPITAL CORPORATION | |
| 2525 Glen Hendren Dr, Liberty, MO 64068-9625 | 8167817200 | NEW LIBERTY HOSPITAL CORPORATION |
| Organization Legal Name | NEW LIBERTY HOSPITAL CORPORATION |
| Physicians | 70 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annah C Sybouts | Nurse Practitioner | New Liberty Hospital Corporation | 305 S Platte Clay Way, The Kearney Clinic, Kearney, MO 64060-8214 |
| Jodie Lee Carpenter | Nurse Practitioner | New Liberty Hospital Corporation | 199 S Mccleary Rd, Suite 100, Excelsior Springs, MO 64024-8456 |
| Clifford M Gall | Neurosurgery | New Liberty Hospital Corporation | 2521 Glenn Hendren Dr, Suite 108, Liberty, MO 64068-3388 |
| Elizabeth K Gerstner | Internal Medicine | New Liberty Hospital Corporation | 2609 Glenn Hendren Dr, Liberty, MO 64068-3313 |
| Julie A Marx | Internal Medicine | New Liberty Hospital Corporation | 2525 Glen Hendren Dr, Liberty, MO 64068-9625 |
| Clayton Lewis Theleman | General Surgery | New Liberty Hospital Corporation | 2521 Glenn Hendren Dr, Suite 108, Liberty, MO 64068-3388 |
| Heather E Doss | Internal Medicine | New Liberty Hospital Corporation | 2609 Glenn Hendren Dr, Liberty, MO 64068-3313 |
| Demetrios G Maragos | Interventional Cardiology | New Liberty Hospital Corporation | 2521 Glenn Hendren Dr, Suite 308, Liberty, MO 64068-3388 |
| Elizabeth A Gansen | Qualified Audiologist | New Liberty Hospital Corporation | 2521 Glenn Hendren Dr, Suite 104, Liberty, MO 64068-3388 |
| Kristie S Van Ry | General Surgery | New Liberty Hospital Corporation | 2521 Glenn Hendren Dr, Suite 108, Liberty, MO 64068-3388 |
| Street Address |
305 S PLATTE CLAY WAY THE KEARNEY CLINIC |
| City | KEARNEY |
| State | MO |
| Zip | 64060-8214 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annah C Sybouts | Nurse Practitioner | New Liberty Hospital Corporation | 305 S Platte Clay Way, The Kearney Clinic, Kearney, MO 64060-8214 |
| Sheila M Owens | Family Medicine | New Liberty Hospital Corporation | 305 S Platte Clay Way, The Kearney Clinic, Kearney, MO 64060-8214 |
| Anja Ileen Ismert | Nurse Practitioner | New Liberty Hospital Corporation | 305 S Platte Clay Way, The Kearney Clinic, Kearney, MO 64060-8214 |
| Jill A Jines | Nurse Practitioner | New Liberty Hospital Corporation | 305 S Platte Clay Way, The Kearney Clinic, Kearney, MO 64060-8214 |
| Ashley M Askew | Internal Medicine | New Liberty Hospital Corporation | 305 S Platte Clay Way, The Kearney Clinic, Kearney, MO 64060-8214 |
| Leigh Ann Johnson | Physician Assistant | New Liberty Hospital Corporation | 305 S Platte Clay Way, The Kearney Clinic, Kearney, MO 64060-8214 |
| Tawn A Sempek | Nurse Practitioner | New Liberty Hospital Corporation | 305 S Platte Clay Way, The Kearney Clinic, Kearney, MO 64060-8214 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Marie Noble-amerson | Chiropractic | 607 W State Route 92 Cc, Kearney, MO 64060-7521 | |
| Jennifer Ann Schlicht | Physical Therapy | Serc Rehabilitation Partners LLC | 101 W State Route 92, Serc Kearney, Kearney, MO 64060-7590 |
| Kelsey Danae Jones | Physical Therapy | Serc Rehabilitation Partners LLC | 101 W State Route 92, Serc Kearney, Kearney, MO 64060-7590 |
| Todd M Steffens | Physical Therapy | Serc Rehabilitation Partners LLC | 101 W State Route 92, Serc Kearney, Kearney, MO 64060-7590 |
| Jenna Allyce Winn | Physical Therapy | Serc Rehabilitation Partners LLC | 101 W State Route 92, Serc Kearney, Kearney, MO 64060-7590 |
| Dakota Ryan Watson | Physical Therapy | Serc Rehabilitation Partners LLC | 101 W State Route 92, Serc Kearney, Kearney, MO 64060-7590 |
| Brian Alexander Hood | Physical Therapy | Serc Rehabilitation Partners LLC | 101 W State Route 92, Serc Kearney, Kearney, MO 64060-7590 |
| Micah J Hunt | Physical Therapy | Serc Rehabilitation Partners LLC | 101 W State Route 92, Serc Kearney, Kearney, MO 64060-7590 |
| Scott G Harnden | Occupational Therapy | Serc Rehabilitation Partners LLC | 101 W State Route 92, Serc Kearney, Kearney, MO 64060-7590 |
| Barry V Bowles | Optometry | 211 S Platte Clay Way, Suite A, Kearney, MO 64060-7623 | |
| Find all physicians in zip 64060 | |||
| City | KEARNEY |
| Zip Code | 64060 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | KEARNEY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Brett L Wilson.
| 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.