Renee Wilson (NPI# 1740275403, PAC ID# 9436116936) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1740275403 |
| PAC ID by PECOS | 9436116936 |
| Professional Enrollment ID | I20061117000240 |
| Full Name | Renee Wilson |
| Organization Legal Name | CARECENTRAL URGENT CARE MEDICAL GROUP PC |
| Address |
286 Washington St Stoughton MA 02072-1763 |
| Phone Number | 7817424491 |
| Gender | F |
| Credential | MD |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 1997 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5496907099 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220111 | GOOD SAMARITAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 286 Washington St, Stoughton, MA 02072-1763 | 7817424491 | CARECENTRAL URGENT CARE MEDICAL GROUP PC |
| Organization Legal Name | CARECENTRAL URGENT CARE MEDICAL GROUP PC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Jane Walsh | Nurse Practitioner | Carecentral Urgent Care Medical Group PC | 233 Broad St, Bridgewater, MA 02324-1741 |
| Geraldine M Matteson | Physician Assistant | Carecentral Urgent Care Medical Group PC | 286 Washington St, Stoughton, MA 02072-1763 |
| Ulema L Graham | Nurse Practitioner | Carecentral Urgent Care Medical Group PC | 286 Washington St, Stoughton, MA 02072-1763 |
| Jamie Linde | Nurse Practitioner | Carecentral Urgent Care Medical Group PC | 286 Washington St, Stoughton, MA 02072-1763 |
| Renee N Gaudette Mcrae | Nurse Practitioner | Carecentral Urgent Care Medical Group PC | 286 Washington St, Stoughton, MA 02072-1763 |
| Laura Rozsika Kelley | Nurse Practitioner | Carecentral Urgent Care Medical Group PC | 286 Washington St, Stoughton, MA 02072-1763 |
| Katrina Erin Tancrell-stueve | Nurse Practitioner | Carecentral Urgent Care Medical Group PC | 286 Washington St, Stoughton, MA 02072-1763 |
| Ann M. Kingman | Nurse Practitioner | Carecentral Urgent Care Medical Group PC | 286 Washington St, Stoughton, MA 02072-1763 |
| Street Address |
286 WASHINGTON ST |
| City | STOUGHTON |
| State | MA |
| Zip | 02072-1763 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geraldine M Matteson | Physician Assistant | Carecentral Urgent Care Medical Group PC | 286 Washington St, Stoughton, MA 02072-1763 |
| Ulema L Graham | Nurse Practitioner | Carecentral Urgent Care Medical Group PC | 286 Washington St, Stoughton, MA 02072-1763 |
| Jamie Linde | Nurse Practitioner | Carecentral Urgent Care Medical Group PC | 286 Washington St, Stoughton, MA 02072-1763 |
| Renee N Gaudette Mcrae | Nurse Practitioner | Carecentral Urgent Care Medical Group PC | 286 Washington St, Stoughton, MA 02072-1763 |
| Laura Rozsika Kelley | Nurse Practitioner | Carecentral Urgent Care Medical Group PC | 286 Washington St, Stoughton, MA 02072-1763 |
| Katrina Erin Tancrell-stueve | Nurse Practitioner | Carecentral Urgent Care Medical Group PC | 286 Washington St, Stoughton, MA 02072-1763 |
| Ann M. Kingman | Nurse Practitioner | Carecentral Urgent Care Medical Group PC | 286 Washington St, Stoughton, MA 02072-1763 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Denapoli | Clinical Social Worker | Renz Counseling, LLC | 378 Page St, Suite 6, Stoughton, MA 02072-1124 |
| Andrea D Gefteas | Psychologist, Clinical | 331 Page St, Suite 3, Stoughton, MA 02072-1172 | |
| Alice F Furman | Clinical Social Worker | 450 Pearl St, Suite 3, Stoughton, MA 02072-1617 | |
| Christina M Fox-sencaj | Clinical Social Worker | 450 Pearl St, Suite 3, Stoughton, MA 02072-1617 | |
| Gabrielle P Abelard | Certified Clinical Nurse Specialist (cns) | 450 Pearl St, Suite 3, Stoughton, MA 02072-1617 | |
| David J Sutter | Physician Assistant | Steward Medical Group Inc | 150 York St, Stoughton, MA 02072-1829 |
| Joanne Grandfield | Physician Assistant | Steward Medical Group Inc | 150 York St, Stoughton, MA 02072-1829 |
| John Cazeau | Physician Assistant | Steward Medical Group Inc | 150 York St, Stoughton, MA 02072-1829 |
| Stephen W Noyes | Physician Assistant | Steward Medical Group Inc | 150 York St, Stoughton, MA 02072-1829 |
| Gregory C Malloy | Physical Medicine and Rehabilitation | 150 York St, Stoughton, MA 02072-1829 | |
| Find all physicians in zip 02072 | |||
| City | STOUGHTON |
| Zip Code | 02072 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | STOUGHTON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Renee 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.