Dr David Coleman Wilson, MD is a medicare enrolled "Dermatology" physician in Forest, Virginia. His current practice location is
2203 Graves Mill Rd, Suite A, Forest, Virginia. You can reach out to his office (for appointments etc.) via phone at
(434) 385-1982.
Dr David Coleman Wilson is licensed to practice in Virginia (license number 0101037565) 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 1194748012.
Physician's Profile
| Full Name | Dr David Coleman Wilson |
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| Gender | Male |
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| Speciality | Dermatology |
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| Location | 2203 Graves Mill Rd, Forest, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1194748012
- Provider Enumeration Date: 07/25/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2163504143
- Enrollment ID: I20080130000557
Medical Identifiers
Medical identifiers for Dr David Coleman Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194748012 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 0101037565 (Virginia) | 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. Dr David Coleman Wilson allows following entities to bill medicare on his behalf.
| Entity Name | Dermatology Consultants Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649205774
PECOS PAC ID: 0749299352
Enrollment ID: O20060410000540 |
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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. Dr David Coleman 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 David Coleman Wilson, MD
2203 Graves Mill Rd, Suite A,
Forest, VA 24551-4296
Ph: (434) 385-1982 | Dr David Coleman Wilson, MD
2203 Graves Mill Rd, Suite A,
Forest, VA 24551-4296
Ph: (434) 385-1982 |
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