David P Wilson, MD is a medicare enrolled "Internal Medicine" physician in Fort Jones, California. His current practice location is
11219 N Highway 3, Fort Jones, California. You can reach out to his office (for appointments etc.) via phone at
(530) 468-5766.
David P Wilson is licensed to practice in California (license number G37216) 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 1801891130.
Physician's Profile
| Full Name | David P Wilson |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 11219 N Highway 3, Fort Jones, California |
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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: 1801891130
- Provider Enumeration Date: 06/14/2005
- Last Update Date: 01/20/2012
Medicare PECOS Information:
- PECOS PAC ID: 2668469727
- Enrollment ID: I20040429000675
Medical Identifiers
Medical identifiers for David P Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1801891130 | NPI | - | NPPES |
| 00G72161 | Medicaid | CA | |
| 00G372162 | Medicaid | CA | |
| G37216 | Other | CA | MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | G37216 (California) | Primary |
| 207P00000X | Emergency Medicine | G37216 (California) | Secondary |
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. David P Wilson allows following entities to bill medicare on his behalf.
| Entity Name | Hospitalist Medicine Physicians Of California Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184663965 PECOS PAC ID: 8426062027 Enrollment ID: O20060202000956 |
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| Entity Name | Siskiyou Hospital Inc |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1093892275 PECOS PAC ID: 1254223134 Enrollment ID: O20071213000624 |
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| Entity Name | Inpatient Specialists Of California Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952792475 PECOS PAC ID: 3476864448 Enrollment ID: O20150617000915 |
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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. David P 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 |
David P Wilson, MD Po Box 458, Fort Jones, CA 96032-0458 Ph: (530) 468-5766 | David P Wilson, MD 11219 N Highway 3, Fort Jones, CA 96032-9731 Ph: (530) 468-5766 |
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