John Starks Wilson Jr, MD in Burlingame, CA

John Starks Wilson Jr, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Burlingame, California. His current practice location is 1783 El Camino Real, Burlingame, California. You can reach out to his office (for appointments etc.) via phone at (650) 696-5515.

John Starks Wilson Jr is licensed to practice in California (license number G27483) 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 1871537308.

Contact Information

	John Starks Wilson Jr, MD
	1783 El Camino Real, Burlingame, CA 94010-3205
	(650) 696-5515
	Not Available

Map and Direction

Physician's Profile

Full Name	John Starks Wilson Jr
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	1783 El Camino Real, Burlingame, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871537308
Provider Enumeration Date: 06/15/2006
Last Update Date: 02/24/2009

Medicare PECOS Information:

PECOS PAC ID: 1153229372
Enrollment ID: I20080708000509

Medical Identifiers

Medical identifiers for John Starks Wilson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871537308	NPI	-	NPPES
00G274830	Medicaid	CA
300087076	Other	CA	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	G27483 (California)	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. John Starks Wilson Jr allows following entities to bill medicare on his behalf.

Entity Name	County Of San Mateo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679642326 PECOS PAC ID: 9032023171 Enrollment ID: O20031126000292

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. John Starks Wilson Jr 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
John Starks Wilson Jr, MD P.o. Box 6102, Novato, CA 94948-6102 Ph: (415) 884-3418	John Starks Wilson Jr, MD 1783 El Camino Real, Burlingame, CA 94010-3205 Ph: (650) 696-5515

Reviews and Comments

Radiology Doctors in Burlingame, CA

Dr. Gokhan Kuyumcu, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1501 Trousdale Dr, Burlingame, CA 94010 Phone: 650-696-5509 Fax: 650-696-5995
Mark Newman Pederson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1783 El Camino Real, Burlingame, CA 94010 Phone: 650-696-5515
Venkat Masarapu, Radiology Medicare: Medicare Enrolled Practice Location: 1501 Trousdale Dr, Burlingame, CA 94010 Phone: 650-696-5519
Christopher James Yoo, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1501 Trousdale Dr, Burlingame, CA 94010 Phone: 650-696-5515 Fax: 650-696-5280
William Michael Stephenson, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1783 El Camino Real, Burlingame, CA 94010 Phone: 650-696-5515
Gregory Matthew Lim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1783 El Camino Real, Burlingame, CA 94010 Phone: 650-696-5515
Dr. David Steven Marcus, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1783 El Camino Real, Burlingame, CA 94010 Phone: 650-696-5515 Fax: 650-696-5280

John Starks Wilson Jr, MD - Medicare Radiology in Burlingame, CA