James David Wilson, MD - Medicare Family Practice in Somerset, KY

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James David Wilson, MD is a medicare enrolled "Family Medicine" physician in Somerset, Kentucky. He went to University Of Louisville School Of Medicine and graduated in 1991 and has 35 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Spero Health Of Kentucky, Llc, Lake Cumberland Regional Hospital Llc and his current practice location is 350 Hospital Way, Suite 100, Somerset, Kentucky. You can reach out to his office (for appointments etc.) via phone at (606) 451-2662.

James David Wilson is licensed to practice in Kentucky (license number 28922) 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 1225002561.

Contact Information

James David Wilson, MD
350 Hospital Way, Suite 100,
Somerset, KY 42503-2872
(606) 451-2662
(606) 451-2641

Map and Direction




Physician's Profile

Full NameJames David Wilson
GenderMale
SpecialityFamily Practice
Experience35 Years
Location350 Hospital Way, Somerset, Kentucky
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:
  • James David Wilson attended and graduated from University Of Louisville School Of Medicine in 1991
  NPI Data:
  • NPI Number: 1225002561
  • Provider Enumeration Date: 02/14/2006
  • Last Update Date: 04/20/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 4981737087
  • Enrollment ID: I20100726000711

Medical Identifiers

Medical identifiers for James David Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225002561NPI-NPPES
1183698OtherCHA
64289226MedicaidKY
5125851OtherCCN
C92457OtherCUMBERLAND HEALTHCARE
000000054066OtherANTHEM
5012148OtherAETNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 28922 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lifeline Health Care Of PulaskiSomerset, KYHome health agency
Lake Cumberland Regional HospitalSomerset, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Spero Health Of Kentucky, Llc105279204146
Lake Cumberland Regional Hospital Llc721490945634

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. James David Wilson allows following entities to bill medicare on his behalf.
Entity NameLake Cumberland Regional Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861078685
PECOS PAC ID: 7214909456
Enrollment ID: O20040809001229
Entity NameSpero Health Of Kentucky, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982102109
PECOS PAC ID: 1052792041
Enrollment ID: O20220721003823

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. James David 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
James David Wilson, MD
350 Hospital Way, Suite 100,
Somerset, KY 42503-2872

Ph: (606) 451-2662		James David Wilson, MD
350 Hospital Way, Suite 100,
Somerset, KY 42503-2872

Ph: (606) 451-2662

Reviews and Comments


Family Medicine Doctors in Somerset, KY

Dr. Michael Shane Randolph, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 104 Hardin Ln, Somerset, KY 42503
Phone: 606-676-0786    
Dr. Brittany Paige Pittman Hardcorn, DNP, APRN, FNP-C
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2441 S Highway 27, Somerset, KY 42501
Phone: 606-451-0231    
David M Reilly, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 350 Hospital Way, Suite 100, Somerset, KY 42503
Phone: 606-451-2601    Fax: 606-451-2641
Travis Massengale, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 350 Hospital Way, Somerset, KY 42503
Phone: 606-451-2624    Fax: 606-451-5506
Jeffery W Golden, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 350 Hospital Way, Suite 100, Somerset, KY 42503
Phone: 606-451-2650    Fax: 606-451-2641
Susan J Petrosky, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 100 Parkway Dr, Somerset, KY 42503
Phone: 606-679-4389    

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.