Chase Landon Wilson (NPI# 1053757641, PAC ID# 5395988273) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1053757641 |
| PAC ID by PECOS | 5395988273 |
| Professional Enrollment ID | I20170516000439 |
| Full Name | Chase Landon Wilson |
| Address |
304 Boston Sq Georgetown KY 40324-9786 |
| Gender | M |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | DERMATOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180101 | GEORGETOWN COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 304 Boston Sq, Georgetown, KY 40324-9786 |
| Street Address |
304 BOSTON SQ |
| City | GEORGETOWN |
| State | KY |
| Zip | 40324-9786 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wilma J Peeples | Clinical Social Worker | 107 Frazier Sourt, 2c, Georgetown, KY 40324 | |
| Gary L Mills | Chiropractic | 407 S Broadway, Georgetown, KY 40324-1342 | |
| Tiffany M Shelton | Nurse Practitioner | Minuteclinic Diagnostic of Kentucky LLC | 101 W Showalter Dr, Georgetown, KY 40324-2081 |
| Jessica L Henry | Nurse Practitioner | Minuteclinic Diagnostic of Kentucky LLC | 101 W Showalter Dr, Georgetown, KY 40324-2081 |
| James J Gullett | Ophthalmology | Wwr, Psc | 103 S Bradford Ln, Suite 102, Georgetown, KY 40324-2336 |
| William W Richardson Ii | Ophthalmology | Wwr, Psc | 103 S Bradford Ln, Suite 102, Georgetown, KY 40324-2336 |
| Stefanie Adams | Optometry | Wwr, Psc | 103 S Bradford Ln, Suite 102, Georgetown, KY 40324-2336 |
| Ivan Morrin | Family Medicine | Baptist Health Medical Group Inc | 210 Bevins Ln C, Georgetown, KY 40324-6127 |
| Brett A Oliver | Family Medicine | Baptist Health Medical Group Inc | 210 Bevins Ln C, Georgetown, KY 40324-6127 |
| Amy J Cox | Nurse Practitioner | Baptist Health Medical Group Inc | 210 Bevins Ln C, Georgetown, KY 40324-6127 |
| Find all physicians in zip 40324 | |||
| City | GEORGETOWN |
| Zip Code | 40324 |
| Specialty | DERMATOLOGY |
| City + Specialty | GEORGETOWN + DERMATOLOGY |
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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.