Dr Kevin F Wilson, MD is a medicare enrolled "Otolaryngology" physician in Draper, Utah. He went to Washington University School Of Medicine and graduated in 2005 and has 20 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Ent Professional Association Services and his current practice location is
96 E Kimballs Ln, Ste 309, Draper, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 260-3687.
Dr Kevin F Wilson is licensed to practice in Utah (license number 7577039-1205) 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 1780701003.
Physician's Profile
| Full Name | Dr Kevin F Wilson |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 20 Years |
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| Location | 96 E Kimballs Ln, Draper, Utah |
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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 Kevin F Wilson attended and graduated from Washington University School Of Medicine in 2005
NPI Data:
- NPI Number: 1780701003
- Provider Enumeration Date: 03/23/2007
- Last Update Date: 02/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 9032233432
- Enrollment ID: I20100907000636
Medical Identifiers
Medical identifiers for Dr Kevin F Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780701003 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 7577039-1205 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ent Professional Association Services | 8921053349 | 15 |
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 Kevin F Wilson allows following entities to bill medicare on his behalf.
| Entity Name | Ent Professional Association Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801857271
PECOS PAC ID: 8921053349
Enrollment ID: O20050318000500 |
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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 Kevin F 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 |
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Dr Kevin F Wilson, MD
96 E Kimballs Ln, Ste 309,
Draper, UT 84020-5021
Ph: (801) 260-3687 | Dr Kevin F Wilson, MD
96 E Kimballs Ln, Ste 309,
Draper, UT 84020-5021
Ph: (801) 260-3687 |
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