Dr Bruce Taylor Wilson, DMD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Middlesboro, Kentucky. His current practice location is
123 N 19th Street, Middlesboro, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 248-1808.
Dr Bruce Taylor Wilson is licensed to practice in Kentucky (license number 5811) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1346294063.
Healthcare Provider's Profile
Full Name | Dr Bruce Taylor Wilson |
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Gender | Male |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 123 N 19th Street, Middlesboro, Kentucky |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1346294063
- Provider Enumeration Date: 05/19/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3476792094
- Enrollment ID: I20130611000769
Medical Identifiers
Medical identifiers for Dr Bruce Taylor Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346294063 | NPI | - | NPPES |
64058118 | Medicaid | KY | |
60058112 | Medicaid | KY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 5811 (Kentucky) | Primary |
204E00000X | Oral & Maxillofacial Surgery | 5811 (Kentucky) | 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. Dr Bruce Taylor 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 |
Dr Bruce Taylor Wilson, DMD Po Box 1786, Middlesboro, KY 40965-3786 Ph: (606) 248-1808 | Dr Bruce Taylor Wilson, DMD 123 N 19th Street, Middlesboro, KY 40965-1786 Ph: (606) 248-1808 |
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