Randal Todd Wilson, DMD - Medicare Dentist in Burley, ID

Randal Todd Wilson, DMD is a medicare enrolled "Dentist" provider in Burley, Idaho. His current practice location is 1309 Bennett Ave, Burley, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 677-5198.

Randal Todd Wilson is licensed to practice in Idaho (license number D-4526) 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 1063846459.

Contact Information

Randal Todd Wilson, DMD
1309 Bennett Ave,
Burley, ID 83318-2676
(208) 677-5198
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameRandal Todd Wilson
GenderMale
SpecialityDentist
Location1309 Bennett Ave, Burley, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063846459
  • Provider Enumeration Date: 08/21/2013
  • Last Update Date: 03/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6406143916
  • Enrollment ID: I20160927003114

Medical Identifiers

Medical identifiers for Randal Todd Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063846459NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist D-4526 (Idaho)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. Randal Todd 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 AddressPractice Location Address
Randal Todd Wilson, DMD
794 Eastland Dr,
Twin Falls, ID 83301-6856

Ph: (208) 734-3312
Randal Todd Wilson, DMD
1309 Bennett Ave,
Burley, ID 83318-2676

Ph: (208) 677-5198

Reviews and Comments


Dentist in Burley, ID

Dr. Michael Bryson Stucki, DDS
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Phone: 208-678-2332    
Dr. Kevin D. Banner, D.D.S.
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Phone: 208-678-5597    Fax: 208-678-5663
Dr. Steve Paul Garn, D.D.S.
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Phone: 208-678-8188    Fax: 208-678-3170
Wayne Jack Wright, D.D.S.
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Medicare: Medicare Enrolled
Practice Location: 2200 Park Ave, Burley, ID 83318
Phone: 208-678-1478    
Logan Kay, DMD
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Medicare: Medicare Enrolled
Practice Location: 1309 Bennett Ave, Burley, ID 83318
Phone: 208-732-7447    
Dr. Justin Ward, D.M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 2271 Overland Ave, Suite 4, Burley, ID 83318
Phone: 208-678-3265    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.