Dr Scott A Wilson, MD - Medicare Internal Medicine in Cumberland, RI

Dr Scott A Wilson, MD is a medicare enrolled "Internal Medicine" physician in Cumberland, Rhode Island. He went to Warren Alpert Medical School Of Brown University and graduated in 1997 and has 27 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Vmd Primary Providers Of Rhode Island Pc and his current practice location is 106 Nate Whipple Hwy, Cumberland, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 658-2020.

Dr Scott A Wilson is licensed to practice in Rhode Island (license number MD10225) 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 1619974672.

Contact Information

Dr Scott A Wilson, MD
106 Nate Whipple Hwy,
Cumberland, RI 02864-1403
(401) 658-2020
(401) 658-3612

Map and Direction




Physician's Profile

Full NameDr Scott A Wilson
GenderMale
SpecialityInternal Medicine
Experience27 Years
Location106 Nate Whipple Hwy, Cumberland, Rhode Island
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Scott A Wilson attended and graduated from Warren Alpert Medical School Of Brown University in 1997
  NPI Data:
  • NPI Number: 1619974672
  • Provider Enumeration Date: 07/06/2005
  • Last Update Date: 02/08/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 4284531658
  • Enrollment ID: I20080422000854

Medical Identifiers

Medical identifiers for Dr Scott A Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619974672NPI-NPPES
7008327MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD10225 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Home Health CareWarwick, RIHome health agency
The Miriam HospitalProvidence, RIHospital
Landmark Medical CenterWoonsocket, RIHospital
Our Lady Of Fatima HospitalNorth providence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Vmd Primary Providers Of Rhode Island Pc307291371455

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 Scott A Wilson allows following entities to bill medicare on his behalf.
Entity NameOcean State Urgent Care Center Of Smithfield Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447698675
PECOS PAC ID: 4688816135
Enrollment ID: O20130813000003
Entity NameOcean State Urgent Care Center Of Cumberland Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275971400
PECOS PAC ID: 0941442495
Enrollment ID: O20130813000010
Entity NameProspect Chartercare Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629493135
PECOS PAC ID: 0840416657
Enrollment ID: O20140730001883
Entity NameOcean State Urgent Care Center Of Woonsocket
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730588062
PECOS PAC ID: 0345563573
Enrollment ID: O20141219001242
Entity NameOcean State Urgent Care Center Of Warwick, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093239519
PECOS PAC ID: 8820361223
Enrollment ID: O20170907000061
Entity NameVmd Primary Providers Of Rhode Island Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598341067
PECOS PAC ID: 3072913714
Enrollment ID: O20210616003189

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 Scott A 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 AddressPractice Location Address
Dr Scott A Wilson, MD
Po Box 27,
Manville, RI 02838-0027

Ph: (800) 927-0002
Dr Scott A Wilson, MD
106 Nate Whipple Hwy,
Cumberland, RI 02864-1403

Ph: (401) 658-2020

Reviews and Comments


Internal Medicine Doctors in Cumberland, RI

Dr. Stanley Richard Balon, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 175 Nate Whipple Hwy, Suite 204, Cumberland, RI 02864
Phone: 401-658-1744    Fax: 401-658-1750
Dr. Michael Klufas, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 525 Broad St, Suite 103, Cumberland, RI 02864
Phone: 401-726-1048    Fax: 401-724-0896
Dr. Thomas Joel Myers, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7 Barn Dr, Cumberland, RI 02864
Phone: 401-573-8955    
Mohammad D Khamiees, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3353 Mendon Rd Ste 3, Cumberland, RI 02864
Phone: 401-405-0899    Fax: 401-405-0890
Constantine Pagonis, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 350 West Wrentham Road, Cumberland, RI 02864
Phone: 401-658-0834    Fax: 401-658-0834
Dr. Mary L Czymbor-hepburn, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 100 Scenic View Dr, Cumberland, RI 02864
Phone: 401-770-9546    
Dr. Avanish Mehta, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2138 Mendon Rd, Suite 101, Cumberland, RI 02864
Phone: 401-333-8500    Fax: 401-333-5711

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.