Individual ProviderBrett WilsonEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address300 W Pueblo St, Santa Barbara, CA 93105-4311(805) 682-7111(562) 809-3528PECOS EnrollmentBased on the most recent information from CMS, provider Brett Wilson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 11:36 AM.Profile DetailsProvider ID1780601252Provider TypeIndividualFull NameWilson, BrettTitleDr.CredentialM.D.GenderMaleSole ProprietorYesEnumeration Date7/17/2006Last Updated4/1/2010Contact InformationPractice LocationPractice Address300 W Pueblo St, Santa Barbara, CA 93105-4311Phone(805) 682-7111Fax(805) 569-8368Mailing LocationMailing AddressPO Box 10040, Westminster, CA 92685-0040Phone(562) 809-3528FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseA97199CaliforniaCode207P00000XDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseMD.026108LouisianaProvider IdentifiersIDDescriptionIssuerID00A971990DescriptionMedicaidIssuerUnlistedCalifornia