Dr Mark J Wilson, MD is a medicare enrolled "Hospitalist" physician in Santa Fe, New Mexico. His current practice location is
455 Saint Michaels Dr, Santa Fe, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 913-3361.
Dr Mark J Wilson is licensed to practice in New Mexico (license number MD2025-0201) 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 1821026436.
Physician's Profile
Full Name | Dr Mark J Wilson |
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Gender | Male |
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Speciality | Hospitalist |
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Location | 455 Saint Michaels Dr, Santa Fe, New Mexico |
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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: 1821026436
- Provider Enumeration Date: 06/30/2006
- Last Update Date: 07/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 1052364205
- Enrollment ID: I20050922000008
Medical Identifiers
Medical identifiers for Dr Mark J Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821026436 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | MD2025-0201 (New Mexico) | 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 Mark J Wilson allows following entities to bill medicare on his behalf.
Entity Name | University Hospitals Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
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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 Mark J 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 Mark J Wilson, MD 6725 Desert Canyon Dr, El Paso, TX 79912-7604 Ph: (304) 639-8114 | Dr Mark J Wilson, MD 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 Ph: (505) 913-3361 |
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