Dr Masao Roy Wilson, MD in Detroit, MI

Dr Masao Roy Wilson, MD is a medicare enrolled "Ophthalmology" physician in Detroit, Michigan. His current practice location is 4717 Saint Antoine St, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 577-8900.

Dr Masao Roy Wilson is licensed to practice in Michigan (license number 4301104424) 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 1932190782.

Contact Information

	Dr Masao Roy Wilson, MD
	4717 Saint Antoine St, Detroit, MI 48201-1423
	(313) 577-8900
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Masao Roy Wilson
Gender	Male
Speciality	Ophthalmology
Location	4717 Saint Antoine St, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932190782
Provider Enumeration Date: 11/01/2005
Last Update Date: 02/12/2025

Medicare PECOS Information:

PECOS PAC ID: 1759279847
Enrollment ID: I20240826001667

Medical Identifiers

Medical identifiers for Dr Masao Roy Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932190782	NPI	-	NPPES
8G7983	Other	TX	BC/BS
D005	Other	NM	TRIWEST
101767100	Other	TX	FIRSTCARE COMMERCIAL
82915	Other	NM	PRESBYTERIAN COMMERCIAL
87458Z	Other	TX	HMO BLUE
164556601	Medicaid	TX
101767101	Medicaid	TX
200016600A	Medicaid	OK
1932190782	Medicaid	MI
74528319	Medicaid	NM
82915	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	45762 (Colorado)	Secondary
207W00000X	Ophthalmology	4301104424 (Michigan)	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 Masao Roy Wilson allows following entities to bill medicare on his behalf.

Entity Name	University Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518

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 Masao Roy 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 Masao Roy Wilson, MD 400 Mack Ave, Detroit, MI 48201-2136 Ph: () -	Dr Masao Roy Wilson, MD 4717 Saint Antoine St, Detroit, MI 48201-1423 Ph: (313) 577-8900

Reviews and Comments

Ophthalmology Doctors in Detroit, MI

Dr. Murray Dale Christianson, M.D., F.R.C.S.(C), Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2799 W Grand Blvd, Henry Ford Hospital, K-10, Detroit, MI 48202 Phone: 313-916-3730
Deborah A. Darnley-fisch, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 Fax: 313-916-3235
Dr. Daniel Seth Zuckerbrod, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 14400 West Mcnichols, Detroit, MI 48235 Phone: 313-341-3450 Fax: 313-341-2135
Robert Neil Frank, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 4717 St Antoine, Kresge Eye Institute, Detroit, MI 48201 Phone: 313-577-8900 Fax: 313-577-0700
Dr. Hassan Ali Tokko, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 4717 Saint Antoine St, Detroit, MI 48201 Phone: 313-577-7614
Mark S Juzych, MD, MHSA Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: Kresge Eye Institute, 4717 St Antoine, Detroit, MI 48201 Phone: 313-577-8900 Fax: 313-577-0700
William Robert Lucas Jr., MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4717 Saint Antoine St, Kresge Eye Institute, Detroit, MI 48201 Phone: 313-577-8900 Fax: 313-577-0700

Dr Masao Roy Wilson, MD - Medicare Ophthalmology in Detroit, MI