Dr Eugene Wiley Wilson Iv, DO - Medicare Diagnostic Radiology in Columbia, SC

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Dr Eugene Wiley Wilson Iv, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Columbia, South Carolina. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2004 and has 20 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Rome Radiology Group Pa, Tampa Bay Radiology Associates Pa, Rome Radiology Group Pa, Fands Radiology Pc, Rome Radiology Group Pa, Tampa Bay Radiology Associates Pa, Fands Radiology Pc, Fands Radiology Pc, Tampa Bay Radiology Associates Pa, Fands Radiology Pc, Rome Radiology Group Pa and his current practice location is 84 Mallet Hill Ct, Columbia, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 509-0456.

Dr Eugene Wiley Wilson Iv is licensed to practice in Indiana (license number 02002999A) 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 1922099746.

Contact Information

Dr Eugene Wiley Wilson Iv, DO
84 Mallet Hill Ct,
Columbia, SC 29223-3126
(803) 509-0456
Not Available

Map and Direction




Physician's Profile

Full NameDr Eugene Wiley Wilson Iv
GenderMale
SpecialityDiagnostic Radiology
Experience20 Years
Location84 Mallet Hill Ct, Columbia, South Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Eugene Wiley Wilson Iv attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2004
  NPI Data:
  • NPI Number: 1922099746
  • Provider Enumeration Date: 11/01/2005
  • Last Update Date: 03/20/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 8527243328
  • Enrollment ID: I20120516000217

Medical Identifiers

Medical identifiers for Dr Eugene Wiley Wilson Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922099746NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 02002999A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Redmond Regional Medical CenterRome, GAHospital
Floyd Medical CenterRome, GAHospital
Adventhealth GordonCalhoun, GAHospital
Dekalb Regional Medical CenterFort payne, ALHospital
Lima Memorial Health SystemLima, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rome Radiology Group Pa892109169521
Tampa Bay Radiology Associates Pa1456381136109
Rome Radiology Group Pa892109169521
Fands Radiology Pc0244368868101
Rome Radiology Group Pa892109169521
Tampa Bay Radiology Associates Pa1456381136109
Fands Radiology Pc367869783620
Fands Radiology Pc0244368868101
Tampa Bay Radiology Associates Pa1456381136109
Fands Radiology Pc367869783620
Rome Radiology Group Pa892109169521

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 Eugene Wiley Wilson Iv allows following entities to bill medicare on his behalf.
Entity NameHarbin Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679599088
PECOS PAC ID: 0446154231
Enrollment ID: O20031124000117
Entity NameRome Radiology Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952330615
PECOS PAC ID: 8921091695
Enrollment ID: O20040407000833
Entity NameRome Imaging Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013923820
PECOS PAC ID: 8820089121
Enrollment ID: O20040524000830
Entity NameSymphony Diagnostic Services No 1 Llc
Entity TypePart B Supplier - Portable X-ray Supplier
Entity IdentifiersNPI Number: 1700865094
PECOS PAC ID: 5193638765
Enrollment ID: O20040603000032
Entity NameF&s Radiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518299957
PECOS PAC ID: 0244368868
Enrollment ID: O20101110001436
Entity NameRadiology Physician Solutions Of North Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447761101
PECOS PAC ID: 2466710306
Enrollment ID: O20180629001782
Entity NameTampa Bay Radiology Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518914977
PECOS PAC ID: 1456381136
Enrollment ID: O20181017001924
Entity NameComanche County Hospital Authority Southwest Radiology
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194996447
PECOS PAC ID: 7113082009
Enrollment ID: O20200107000360

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 Eugene Wiley Wilson Iv 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
Dr Eugene Wiley Wilson Iv, DO
84 Mallet Hill Ct,
Columbia, SC 29223-3126

Ph: (803) 509-0456		Dr Eugene Wiley Wilson Iv, DO
84 Mallet Hill Ct,
Columbia, SC 29223-3126

Ph: (803) 509-0456

Reviews and Comments


Radiology Doctors in Columbia, SC

Dr. Jason P Eastlack, MD
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Practice Location: 1519 Marion St, Columbia, SC 29201
Phone: 803-296-5954    Fax: 803-296-3076
Dr. James Joseph Farrell, MD
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Dr. Raleigh J Boulware, MD
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Gerald Edmund Richmond, MD
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Dr. Robert Wesley Smith, M.D.
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Mrs. Jennifer Cecile Wood,
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Phone: 803-434-6766    
Wesley S Conwell, MD
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Practice Location: 1519 Marion St, Columbia, SC 29220
Phone: 803-296-5513    Fax: 803-296-3076

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.