Dr Wyman Gilmore Iii, MD - Medicare Internal Medicine in Fort Worth, TX

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Dr Wyman Gilmore Iii, MD is a medicare enrolled "Family Medicine" physician in Fort Worth, Texas. He went to University Of Alabama School Of Medicine and graduated in 2016 and has 9 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Emergency Coverage Llc and his current practice location is 1500 S Main St, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 702-1661.

Dr Wyman Gilmore Iii is licensed to practice in Tennessee (license number 59667) 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 1427410505.

Contact Information

Dr Wyman Gilmore Iii, MD
1500 S Main St,
Fort Worth, TX 76104-4917
(817) 702-1661
Not Available

Map and Direction




Physician's Profile

Full NameDr Wyman Gilmore Iii
GenderMale
SpecialityInternal Medicine
Experience9 Years
Location1500 S Main St, Fort Worth, Texas
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 Wyman Gilmore Iii attended and graduated from University Of Alabama School Of Medicine in 2016
  NPI Data:
  • NPI Number: 1427410505
  • Provider Enumeration Date: 03/28/2016
  • Last Update Date: 08/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9234484734
  • Enrollment ID: I20191018002641

Medical Identifiers

Medical identifiers for Dr Wyman Gilmore Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427410505NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 59667 (Tennessee)Secondary
207R00000XInternal Medicine 59667 (Tennessee)Secondary
208000000XPediatrics 59667 (Tennessee)Secondary
208100000XPhysical Medicine & Rehabilitation 59667 (Tennessee)Secondary
2085R0202XRadiology - Diagnostic Radiology 59667 (Tennessee)Secondary
208600000XSurgery 59667 (Tennessee)Secondary
207Q00000XFamily Medicine 59667 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tristar Horizon Medical CenterDickson, TNHospital
Baptist Memorial Hospital - Carroll CountyHuntingdon, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emergency Coverage Llc3072412592530

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 Wyman Gilmore Iii allows following entities to bill medicare on his behalf.
Entity NameEmergency Coverage Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427005008
PECOS PAC ID: 3072412592
Enrollment ID: O20050207000666
Entity NameLexington Clinic Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780652107
PECOS PAC ID: 2466468558
Enrollment ID: O20060227000599
Entity NameLexington Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083809669
PECOS PAC ID: 7719896414
Enrollment ID: O20090324000611
Entity NameLexington Family Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265660708
PECOS PAC ID: 8628120342
Enrollment ID: O20090710000103
Entity NameConcord Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083630610
PECOS PAC ID: 0446296818
Enrollment ID: O20151006000818
Entity NameSouth Central Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427611854
PECOS PAC ID: 6507195492
Enrollment ID: O20190830001905
Entity NameConcord Medical Group Of Kentucky Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346746385
PECOS PAC ID: 9133483894
Enrollment ID: O20191118000999
Entity NameShamrock Community Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033878277
PECOS PAC ID: 8325422082
Enrollment ID: O20220829003239
Entity NameHaywood County Community Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790444933
PECOS PAC ID: 7911373204
Enrollment ID: O20221011001672
Entity NameEmergency Medicine Services Of Tn, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720785884
PECOS PAC ID: 3173989837
Enrollment ID: O20230523000265

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 Wyman Gilmore Iii 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 Wyman Gilmore Iii, MD
1500 S Main St,
Fort Worth, TX 76104-4917

Ph: (817) 702-1661		Dr Wyman Gilmore Iii, MD
1500 S Main St,
Fort Worth, TX 76104-4917

Ph: (817) 702-1661

Reviews and Comments


Family Medicine Doctors in Fort Worth, TX

Jonathan A Lazarini, MD
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Phone: 903-353-2265    
Mrs. Adeline Galvez,
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Fomundam Newnton Mbuh, NP
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Practice Location: 4759 South Fwy Ste 101, Fort Worth, TX 76115
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Dr. Joane Baumer, M.D.
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Practice Location: 1500 S Main St, Family Medicine Center, Fort Worth, TX 76104
Phone: 817-335-1034    
Evelyn Tobias-merrill, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 2825 Stadium Dr, Fort Worth, TX 76109
Phone: 817-257-7940    Fax: 817-257-7279
Dr. Christian Ann Lance, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 800 8th Ave Ste 412, Fort Worth, TX 76104
Phone: 817-662-2006    Fax: 817-623-9598
Dr. Michael David Carletti, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 855 Montgomery St, Fort Worth, TX 76107
Phone: 817-735-0278    

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.