Robert Wilson, DC is a medicare enrolled "Chiropractor" provider in Centerville, Tennessee. He went to Life Chiropractic College and graduated in 2011 and has 13 years of diverse experience with area of expertise as Chiropractic. His current practice location is
132a N Central Ave, Centerville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 729-4001.
Robert Wilson is licensed to practice in Tennessee (license number 2591) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1144589458.
Healthcare Provider's Profile
| Full Name | Robert Wilson |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 13 Years |
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| Location | 132a N Central Ave, Centerville, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Robert Wilson attended and graduated from Life Chiropractic College in 2011
NPI Data:
- NPI Number: 1144589458
- Provider Enumeration Date: 05/07/2012
- Last Update Date: 06/11/2018
Medicare PECOS Information:
- PECOS PAC ID: 1759514979
- Enrollment ID: I20140423002134
Medical Identifiers
Medical identifiers for Robert Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144589458 | NPI | - | NPPES |
| 6128617 | Other | TN | BLUE CROSS BLUE SHIELD OF TENNESSEE |
| 1366957656 | Other | | NPPES - PLLC NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 2591 (Tennessee) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Robert Wilson allows following entities to bill medicare on his behalf.
| Provider Name | Robert Wilson, Dc, Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1366957656
PECOS PAC ID: 2961767637
Enrollment ID: O20180530000738 |
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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. Robert Wilson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Robert Wilson, DC
Po Box 99,
Centerville, TN 37033-0099
Ph: (931) 729-4001 | Robert Wilson, DC
132a N Central Ave,
Centerville, TN 37033
Ph: (931) 729-4001 |
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