Dr James Oscar Wilde Jr, MD is a medicare enrolled "Family Medicine" physician in Charleston, Mississippi. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Tallahatchie General Hospital and his current practice location is
201 S. Market St., Charleston, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 625-7118.
Dr James Oscar Wilde Jr is licensed to practice in Mississippi (license number 22475) 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 1003921172.
Physician's Profile
| Full Name | Dr James Oscar Wilde Jr |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 24 Years |
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| Location | 201 S. Market St., Charleston, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr James Oscar Wilde Jr graduated from medical school in 2000
NPI Data:
- NPI Number: 1003921172
- Provider Enumeration Date: 08/20/2006
- Last Update Date: 05/13/2014
Medicare PECOS Information:
- PECOS PAC ID: 6608846886
- Enrollment ID: I20130606000237
Medical Identifiers
Medical identifiers for Dr James Oscar Wilde Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003921172 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 23852 (Oklahoma) | Secondary |
| 207Q00000X | Family Medicine | 22475 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Tallahatchie General Hospital | 1052208097 | 17 |
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 James Oscar Wilde Jr allows following entities to bill medicare on his behalf.
| Entity Name | Tallahatchie General Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679733497
PECOS PAC ID: 1052208097
Enrollment ID: O20040303000646 |
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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 James Oscar Wilde Jr 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 |
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Dr James Oscar Wilde Jr, MD
201 S. Market St.,
Charleston, MS 38921
Ph: (662) 625-7118 | Dr James Oscar Wilde Jr, MD
201 S. Market St.,
Charleston, MS 38921
Ph: (662) 625-7118 |
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