Wanda Gayle Wilson, DO - General Practice in Jefferson City, MO

Wanda Gayle Wilson, DO is a General Practice physician based in Jefferson City, Missouri. Wanda Gayle Wilson is licensed to practice in Missouri (license number R8779) and her current practice location is 3559 Amazonas St, Jefferson City, Missouri. She can be reached at her office (for appointments etc.) via phone at (573) 893-7848.

NPI number for Wanda Gayle Wilson is 1033182118 and her current mailing address is 3559 Amazonas St, Health Branch West, Jefferson City, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033182118.

Contact Information

Wanda Gayle Wilson, DO
3559 Amazonas St,
Jefferson City, MO 65109
(573) 893-7848
(573) 893-1984



Physician's Profile

Full NameWanda Gayle Wilson
GenderFemale
SpecialityGeneral Practice
Location3559 Amazonas St, Jefferson City, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033182118
  • Provider Enumeration Date: 02/09/2006
  • Last Update Date: 06/30/2009

Medical Identifiers

Medical identifiers for Wanda Gayle Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033182118NPI-NPPES
9183317004OtherCIGNA
P00200365OtherRR MEDICARE
185418OtherBCBS
241488329MedicaidMO
829180OtherFIRST HEALTH
D41738OtherMERCY
251463OtherHEALTHLINK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice R8779 (Missouri)Primary

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. Wanda Gayle 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 AddressPractice Location Address
Wanda Gayle Wilson, DO
3559 Amazonas St, Health Branch West,
Jefferson City, MO 65109

Ph: (573) 893-7848
Wanda Gayle Wilson, DO
3559 Amazonas St,
Jefferson City, MO 65109

Ph: (573) 893-7848

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General Practice Doctors in Jefferson City, MO

Mark Christopher Link, M.D.
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 1002 Diamond Rdg, Suite 200, Jefferson City, MO 65109
Phone: 573-632-5585    Fax: 573-634-2978
Carey Diana Vaughan, DO
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 1014 Madison St, Jefferson City, MO 65101
Phone: 573-644-6999    Fax: 573-644-7880

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