Dr Patrick Tyler Wilson, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Greenville, North Carolina. He went to Sanford School Of Medicine Of University Of South Dakota and graduated in 2023 and has 2 years of diverse experience with area of expertise as General Practice. His current practice location is
2100 Stantonsburg Rd, Greenville, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(252) 744-4611.
Dr Patrick Tyler Wilson is licensed to practice in * (Not Available) (license number ) 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 1518652742.
Physician's Profile
| Full Name | Dr Patrick Tyler Wilson |
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| Gender | Male |
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| Speciality | General Practice |
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| Experience | 2 Years |
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| Location | 2100 Stantonsburg Rd, Greenville, North Carolina |
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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 Patrick Tyler Wilson attended and graduated from Sanford School Of Medicine Of University Of South Dakota in 2023
NPI Data:
- NPI Number: 1518652742
- Provider Enumeration Date: 04/05/2023
- Last Update Date: 10/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 5395103147
- Enrollment ID: I20250410003249
Medical Identifiers
Medical identifiers for Dr Patrick Tyler Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1518652742 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 2024-02563 (North Carolina) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Patrick Tyler Wilson allows following entities to bill medicare on his behalf.
| Entity Name | Signify Health Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191001003503 |
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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 Patrick Tyler 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 Patrick Tyler Wilson, MD
2100 Stantonsburg Rd,
Greenville, NC 27834-2818
Ph: (252) 744-4611 | Dr Patrick Tyler Wilson, MD
2100 Stantonsburg Rd,
Greenville, NC 27834-2818
Ph: (252) 744-4611 |
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