Casey Lee Wilson (NPI# 1760758254, PAC ID# 6204084890) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1760758254 |
| PAC ID by PECOS | 6204084890 |
| Professional Enrollment ID | I20180613001842 |
| Full Name | Casey Lee Wilson |
| Organization Legal Name | ACS PRIMARY CARE PHYSICIANS - SOUTHEAST PC |
| Address |
4000 Hwy 9 E Little River SC 29566-7833 |
| Phone Number | 8433908100 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5193620714 |
| Number of Group Practice Members | 172 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420085 | GRAND STRAND REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4000 Hwy 9 E, Little River, SC 29566-7833 | 8433908100 | ACS PRIMARY CARE PHYSICIANS - SOUTHEAST PC |
| 3655 Mitchell St, Loris, SC 29569-2827 | 8437167000 | ACS PRIMARY CARE PHYSICIANS - SOUTHEAST PC |
| Organization Legal Name | ACS PRIMARY CARE PHYSICIANS - SOUTHEAST PC |
| Physicians | 136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Enrique Pena | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 806 Hwy 17 S, North Myrtle Beach, SC 29582-3429 |
| Carey Christiansen Ford | Family Medicine | Acs Primary Care Physicians - Southeast PC | 1000 Medical Ctr Dr, Hardeeville, SC 29927-3446 |
| Peter K Brady | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 349 Tidewatch Dr, Bluffton, SC 29910-9321 |
| Melissa Rosado | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Arash Albekord | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 10 E Hospital St, Manning, SC 29102-3153 |
| Angela Penix | Nurse Practitioner | Acs Primary Care Physicians - Southeast PC | 350 Hospital Dr, Macon, GA 31217-3838 |
| Bettie S Stem | Nurse Practitioner | Acs Primary Care Physicians - Southeast PC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
| Tiffany D Jackson | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 222 S Herlong Ave, Rock Hill, SC 29732-1158 |
| Kenneth L Grotz | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 3651 Wheeler Rd, Augusta, GA 30909-6521 |
| Reda Saadal Hallaba | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
| Street Address |
4000 HWY 9 E |
| City | LITTLE RIVER |
| State | SC |
| Zip | 29566-7833 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harvey W Putnam Jr. | Physician Assistant | Atlantic Urology Clinics LLC | 4000 Hwy 9 E, Suite 275, Little River, SC 29566-7833 |
| Lauren D Evans | Nurse Practitioner | Atlantic Urology Clinics LLC | 4000 Hwy 9 E, Suite 275, Little River, SC 29566-7833 |
| Michelle D Lee | Anesthesiology | American Anesthesiology of South Carolina LLC | 4000 Hwy 9 E, Loris, SC 29569-7833 |
| Michelle N Fowler | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 4000 Hwy 9 E, Little River, SC 29566-7833 |
| Eric J Larson | Emergency Medicine | Williams Creek Emergency Physicians LLC | 4000 Hwy 9 E, Little River, SC 29566-7833 |
| Timothy J Carr | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 4000 Hwy 9 E, Little River, SC 29566-7833 |
| Stephen Andrew Harvey | Emergency Medicine | Williams Creek Emergency Physicians LLC | 4000 Hwy 9 E, Little River, SC 29566-7833 |
| Kristin Baker | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 4000 Hwy 9 E, Little River, SC 29566-7833 |
| Christopher R Rosanova | Emergency Medicine | Williams Creek Emergency Physicians LLC | 4000 Hwy 9 E, Little River, SC 29566-7833 |
| Bryon K Frost | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 4000 Hwy 9 E, Little River, SC 29566-7833 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry J Kopelman | Physical Therapy | David L. Haught, Pa | 304 Hwy 90 E C1, Little River, SC 29566 |
| David Laif Haught | Physical Therapy | David L. Haught, Pa | 304 Hwy 90 E C1, Little River, SC 29566 |
| Carla N Antolak | Physical Therapy | Greenville Proaxis Therapy LLC | 4237 River Hills Dr, Suite 110, Little River, SC 29566-6444 |
| Genevieve Badaoui | Physical Therapy | Greenville Proaxis Therapy LLC | 4237 River Hills Dr, Suite 110, Little River, SC 29566-6444 |
| Denise Charnea Lovorn | Physical Therapy | Greenville Proaxis Therapy LLC | 4237 River Hills Dr, Suite 110, Little River, SC 29566-6444 |
| Jennifer Elayne Bruer-vandeweert | Physical Therapy | Greenville Proaxis Therapy LLC | 4237 River Hills Dr, Suite 110, Little River, SC 29566-6444 |
| Garrett Fitzgibbons | Physical Therapy | Greenville Proaxis Therapy LLC | 4237 River Hills Dr, Suite 120, Little River, SC 29566-6444 |
| William J Earley | Family Practice | Elite Pain Management LLC | 4237 River Hills Dr, Little River, SC 29566-6444 |
| Matthew Davis | Physical Therapy | Greenville Proaxis Therapy LLC | 4237 River Hills Dr, Suite 120, Little River, SC 29566-6444 |
| Heather Vincent | Physician Assistant | Waterway Primary Care LLC | 4237 River Hills Dr, Suite 150, Little River, SC 29566-6446 |
| Find all physicians in zip 29566 | |||
| City | LITTLE RIVER |
| Zip Code | 29566 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | LITTLE RIVER + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Casey Lee 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.