Lucas Hillman Wilson

Pediatric Cardiology | Male

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Complete Profile:

Lucas Hillman Wilson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics
Provider Name :	Lucas Hillman Wilson
Gender :	Male

Business Address:

Lucas Hillman 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 :	2500 N State St Jackson, MS, 39216-4500 United States
Phone Number :	601-815-2005

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 :	1346627544
NPI Entity Type :	Individual
First Enrolment Date :	27 Apr, 2015
Last Updated On :	25 Aug, 2022

Medicare Participation:

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

Medicare PECOS ID :	7315254729
Medicare Enrollment ID :	I20220623000043
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Mississippi School Of Medicine
Graduation Year :	2015
Accepts Medicare?	Yes. Lucas Hillman Wilson accepts medicare insurance.

Group Practice Association:

Lucas Hillman 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 Lucas Hillman Wilson is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
State Of Mississippi - University Of Mississippi Medical Center	1850293036	828	2500 N State St Jackson, MS - 392164500 Ph: 6018154775	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 Lucas Hillman Wilson are as mentioned. Primary taxonomy code for Lucas Hillman Wilson is 2080P0202X (Pediatrics).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	52251	SC
390200000X	Student in an Organized Health Care Education/Training Program	No		-
2080P0202X	Pediatrics	Yes	29776	MS

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 :	2500 N State St Jackson, MS, 39216-4500 United States
Phone Number :	601-815-2005

Business Location:

Patients can refer following map for directions to Lucas Hillman 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.