Kelly Comolli Wilson, MD in Charlotte, NC

Kelly Comolli Wilson, MD is a medicare enrolled "Anesthesiology" physician in Charlotte, North Carolina. Her current practice location is 3735 Glenlake Dr Ste 250, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 749-5800.

Kelly Comolli Wilson is licensed to practice in North Carolina (license number 2024-01389) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023646858.

Contact Information

	Kelly Comolli Wilson, MD
	3735 Glenlake Dr Ste 250, Charlotte, NC 28208-6866
	(704) 749-5800
	Not Available

Map and Direction

Physician's Profile

Full Name	Kelly Comolli Wilson
Gender	Female
Speciality	Anesthesiology
Location	3735 Glenlake Dr Ste 250, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023646858
Provider Enumeration Date: 03/28/2020
Last Update Date: 07/16/2024

Medicare PECOS Information:

PECOS PAC ID: 3375965593
Enrollment ID: I20240927000798

Medical Identifiers

Medical identifiers for Kelly Comolli Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023646858	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	2024-01389 (North Carolina)	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. Kelly Comolli Wilson allows following entities to bill medicare on her behalf.

Entity Name	Providence Anesthesiology Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396739884 PECOS PAC ID: 3971566761 Enrollment ID: O20041111000930

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. Kelly Comolli 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 Address	Practice Location Address
Kelly Comolli Wilson, MD Po Box 117661, Atlanta, GA 30368-7661 Ph: (704) 749-5800	Kelly Comolli Wilson, MD 3735 Glenlake Dr Ste 250, Charlotte, NC 28208-6866 Ph: (704) 749-5800

Reviews and Comments

Anesthesiology Doctors in Charlotte, NC

Michael J Mcnelis, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 200 Providence Rd, Suite 101, Charlotte, NC 28207 Phone: 704-749-5800 Fax: 704-749-5819
Dr. Bernard Velardo, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000
Dr. Richard Ralph Pagano, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10628 Park Rd, Charlotte, NC 28210 Phone: 704-667-1000
Dr. Kevin Todd Cortese, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000
Stephanie Francis Newby, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 501 Billingsley Rd, Ste B, Charlotte, NC 28211 Phone: 704-444-2400
Norman A Holmes, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 200 Providence Rd, Suite 101, Charlotte, NC 28207 Phone: 704-749-5800 Fax: 704-749-5819

Kelly Comolli Wilson, MD - Medicare Anesthesiology in Charlotte, NC