Theodore Ernest Wilson, MD - Medicare Pediatric Medicine in Indianapolis, IN

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Theodore Ernest Wilson, MD is a medicare enrolled "Medical Genetics - Clinical Genetics (m.d.)" physician in Indianapolis, Indiana. He went to University Of Colorado School Of Medicine, Denver and graduated in 2012 and has 14 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Iu Health Medical Group Llc, Iu Health Medical Group Riley Specialists Llc and his current practice location is 1002 Wishard Blvd, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 944-3966.

Theodore Ernest Wilson is licensed to practice in Indiana (license number 01079354A) 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 1699035030.

Contact Information

Theodore Ernest Wilson, MD
1002 Wishard Blvd,
Indianapolis, IN 46202-4163
(317) 944-3966
(317) 968-1354

Map and Direction




Physician's Profile

Full NameTheodore Ernest Wilson
GenderMale
SpecialityPediatric Medicine
Experience14 Years
Location1002 Wishard Blvd, Indianapolis, Indiana
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:
  • Theodore Ernest Wilson attended and graduated from University Of Colorado School Of Medicine, Denver in 2012
  NPI Data:
  • NPI Number: 1699035030
  • Provider Enumeration Date: 05/18/2012
  • Last Update Date: 02/21/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0941438568
  • Enrollment ID: I20171031002674

Medical Identifiers

Medical identifiers for Theodore Ernest Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699035030NPI-NPPES
000001126408OtherINANTHEM PTAN
1102391322OtherINANTHEM PTAN
300007251MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics P27658 (Maryland)Secondary
208000000XPediatrics 01079354A (Indiana)Secondary
207SG0201XMedical Genetics - Clinical Genetics (m.d.) 01079354A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Indiana University HealthIndianapolis, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Iu Health Medical Group Llc96386179134320
Iu Health Medical Group Riley Specialists Llc9638669815257

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. Theodore Ernest Wilson allows following entities to bill medicare on his behalf.
Entity NameUniversity Family Physicians, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043275787
PECOS PAC ID: 7911992797
Enrollment ID: O20040420000393

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. Theodore Ernest 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
Theodore Ernest Wilson, MD
250 N Shadeland Ave,
Indianapolis, IN 46219-4959

Ph: () -		Theodore Ernest Wilson, MD
1002 Wishard Blvd,
Indianapolis, IN 46202-4163

Ph: (317) 944-3966

Reviews and Comments



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.