Mary K Wilson (NPI# 1396090163, PAC ID# 0143478172) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1396090163 |
| PAC ID by PECOS | 0143478172 |
| Professional Enrollment ID | I20120918000185 |
| Full Name | Mary K Wilson |
| Organization Legal Name | TODD HALL OD PA |
| Address |
814 W Park Ave Greenwood MS 38930-2825 |
| Phone Number | 6624535400 |
| Gender | F |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 2012 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 9739290743 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 814 W Park Ave, Greenwood, MS 38930-2825 | 6624535400 | TODD HALL OD PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% |
| Organization Legal Name | TODD HALL OD PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd Hall | Optometry | Todd Hall Od Pa | 206 Baker Blvd, Leland, MS 38756-3402 |
| Street Address |
814 W PARK AVE |
| City | GREENWOOD |
| State | MS |
| Zip | 38930-2825 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chandra A Boston | Nurse Practitioner | Region Vi Mental Health/mental Retardation Commission | 2504 Old Browning Rd, Greenwood, MS 38930 |
| Joyce C Vaughn | Nurse Practitioner | Region Vi Mental Health/mental Retardation Commission | 2504 Old Browning Rd, Greenwood, MS 38930 |
| Roxie Hogan | Nurse Practitioner | Region Vi Mental Health/mental Retardation Commission | 2504 Old Browning Rd, Greenwood, MS 38930 |
| Chester W Jenkins | Psychiatry | Region Vi Mental Health/mental Retardation Commission | 2504 Old Browning Rd, Greenwood, MS 38930 |
| Shonda Jacqueline R Phelon | Nurse Practitioner | Region Vi Mental Health/mental Retardation Commission | 2504 Old Browning Rd, Greenwood, MS 38930 |
| Martha Catlette | Nurse Practitioner | Region Vi Mental Health/mental Retardation Commission | 2504 Old Browning Rd, Greenwood, MS 38930 |
| Maxie Lerone Gordon | Psychiatry | Region Vi Mental Health/mental Retardation Commission | 2504 Old Browning Rd, Greenwood, MS 38930 |
| April L Mitchell | Nurse Practitioner | Region Vi Mental Health/mental Retardation Commission | 2504 Old Browning Rd, Greenwood, MS 38930 |
| Carolyn V Tingle | Psychiatry | Region Vi Mental Health/mental Retardation Commission | 2504 Old Browning Rd, Greenwood, MS 38930 |
| William F Reid Sr. | Certified Registered Nurse Anesthetist (crna) | 2005 Hwy 82 W, Greenwood, MS 38930 | |
| Find all physicians in zip 38930 | |||
| City | GREENWOOD |
| Zip Code | 38930 |
| Specialty | OPTOMETRY |
| City + Specialty | GREENWOOD + OPTOMETRY |
Please comment or provide details below to improve the information on Mary K 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.