Dr Martha L Wilson, MD is a medicare enrolled "Dermatology" physician in Galax, Virginia. She went to Medical College Of Georgia School Of Medicine and graduated in 1980 and has 44 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Skin Surgery Center Pa, Skin Surgery Center Pa and her current practice location is
104 E Stuart Dr, Galax, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 238-9902.
Dr Martha L Wilson is licensed to practice in Virginia (license number 0101230418) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336271733.
Physician's Profile
| Full Name | Dr Martha L Wilson |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 44 Years |
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| Location | 104 E Stuart Dr, Galax, Virginia |
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| Accepts Medicare Assignments | Yes. She 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 Martha L Wilson attended and graduated from Medical College Of Georgia School Of Medicine in 1980
NPI Data:
- NPI Number: 1336271733
- Provider Enumeration Date: 03/12/2007
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 6901937333
- Enrollment ID: I20100629000912
Medical Identifiers
Medical identifiers for Dr Martha L Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336271733 | NPI | - | NPPES |
| 070017626 | Other | VA | RAILROAD MEDICARE |
| 463187 | Other | VA | ANTHEM BCBS (TRIGON) |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 0101230418 (Virginia) | Primary |
| 207N00000X | Dermatology | ME0042356 (Florida) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 0101230418 (Virginia) | Secondary |
| 207NP0225X | Dermatology - Pediatric Dermatology | 0101230418 (Virginia) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 0101230418 (Virginia) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Skin Surgery Center Pa | 3173599479 | 54 |
| Skin Surgery Center Pa | 3173599479 | 54 |
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 Martha L Wilson allows following entities to bill medicare on her behalf.
| Entity Name | Skin Surgery Center Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649237082
PECOS PAC ID: 3173599479
Enrollment ID: O20160511002083 |
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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 Martha L 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 Martha L Wilson, MD
104 E Stuart Dr,
Galax, VA 24333-2119
Ph: (276) 238-9902 | Dr Martha L Wilson, MD
104 E Stuart Dr,
Galax, VA 24333-2119
Ph: (276) 238-9902 |
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