Amy C Wilson

M.D. | Pediatric Nephrology | Female

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Complete Profile:

Amy C Wilson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Nephrology
Provider Name :	Amy C Wilson
Other Name :	Amy C. Drake
Credential :	M.D.
Gender :	Female

Business Address:

Amy C Wilson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	705 Riley Hospital Dr, Rr 230 Indianapolis, IN, 46202-5109 United States
Phone Number :	317-274-2563
Fax Number :	317-278-3599

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1578770608
NPI Entity Type :	Individual
First Enrolment Date :	17 May, 2007
Last Updated On :	25 Nov, 2020

Medicare Participation:

Amy C Wilson participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	6901933324
Medicare Enrollment ID :	I20100416000105
Primary Specialty :	Nephrology
Medical School :	Johns Hopkins University School Of Medicine
Graduation Year :	2003
Accepts Medicare?	Yes. Amy C Wilson accepts medicare insurance.

Group Practice Association:

Amy C Wilson is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Amy C Wilson is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Pediatric Associates, Inc.	2163326794	123	705 Riley Hospital Dr Indianapolis, IN - 462025109 Ph: 3179445000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Amy C Wilson are as mentioned. Primary taxonomy code for Amy C Wilson, M.D. is 2080P0210X (Pediatrics Pediatric Nephrology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0210X	Pediatrics Pediatric Nephrology	Yes	01066854	IN

Legacy Identifiers:

Other legacy medical identifiers of Amy C Wilson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
200966000	MEDICAID	IN
7100316940	MEDICAID	KY
1578770608	MEDICAID	MI

Other Practice Locations:

Practice Address	City, State	Phone Number
699 RILEY HOSPITAL DR, INDIANAPOLIS, IN, 46202-5119 United States	INDIANAPOLIS, IN	317-274-2563

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 1026 Indianapolis, IN, 46206-1026 United States
Phone Number :	317-274-1201
Fax Number :	317-278-9905

Business Location:

Patients can refer following map for directions to Amy C Wilson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.