Mr Kent Shannon Wilson, MD in Woodbury, MN - Otolaryngology

Mr Kent Shannon Wilson, MD is a Otolaryngology physician based in Woodbury, Minnesota. Mr Kent Shannon Wilson is licensed to practice in Minnesota (license number 17805) and his current practice location is 2080 Woodwinds Drive, #120, Woodbury, Minnesota. He can be reached at his office (for appointments etc.) via phone at (651) 702-0750.

NPI number for Mr Kent Shannon Wilson is 1922044288 and his current mailing address is 2080 Woodwinds Drive, #120, Woodbury, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922044288.

Contact Information

	Mr Kent Shannon Wilson, MD
	2080 Woodwinds Drive, #120, Woodbury, MN 55125
	(651) 702-0750
	(651) 702-0749

Physician's Profile

Full Name	Mr Kent Shannon Wilson
Gender	Male
Speciality	Otolaryngology
Location	2080 Woodwinds Drive, Woodbury, Minnesota
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1922044288
Provider Enumeration Date: 06/22/2006
Last Update Date: 12/04/2009

Medical Identifiers

Medical identifiers for Mr Kent Shannon Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922044288	NPI	-	NPPES
905070100	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	17805 (Minnesota)	Primary
208600000X	Surgery	17805 (Minnesota)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kent Shannon Wilson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Kent Shannon Wilson, MD 2080 Woodwinds Drive, #120, Woodbury, MN 55125 Ph: (651) 702-0750	Mr Kent Shannon Wilson, MD 2080 Woodwinds Drive, #120, Woodbury, MN 55125 Ph: (651) 702-0750

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Otolaryngology Doctors in Woodbury, MN

Mr. Richard G Karlen, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2080 Woodwinds Drive, #240, Woodbury, MN 55125 Phone: 651-702-0750 Fax: 651-645-6166
Erin Mary Wynings-keaty, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 217 Radio Dr, Woodbury, MN 55125 Phone: 651-702-0750
Mr. Robert Weston Smith, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2080 Woodwinds Drive, #240, Woodbury, MN 55125 Phone: 651-702-0750 Fax: 651-702-0749
Dr. Jamie Katherine Flohr, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2080 Woodwinds Dr Ste 240, Woodbury, MN 55125 Phone: 651-702-0750 Fax: 651-645-6166
Dr. Victor Stuart Cox, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2080 Woodwinds Drive, #240, Woodbury, MN 55125 Phone: 651-702-0750 Fax: 651-645-6166
Dr. Garrett R Griffin, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2080 Woodwinds Dr, Suite 120, Woodbury, MN 55125 Phone: 703-628-6424 Fax: 651-645-6166
Dr. Jennifer C Lane, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125 Phone: 651-241-3000 Fax: 651-241-3500

Mr Kent Shannon Wilson, MD - Otolaryngology in Woodbury, MN