Kelly W Wilson, MD in San Angelo, TX - Medicare Obstetrics/gynecology

Kelly W Wilson, MD is a medicare enrolled "Obstetrics & Gynecology" physician in San Angelo, Texas. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 1990 and has 35 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Shannon Clinic and his current practice location is 220 East Harris Avenue, San Angelo, Texas. You can reach out to his office (for appointments etc.) via phone at (325) 658-1511.

Kelly W Wilson is licensed to practice in Texas (license number J0368) 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 1942283551.

Contact Information

	Kelly W Wilson, MD
	220 East Harris Avenue, San Angelo, TX 76903
	(325) 658-1511
	Not Available

Map and Direction

Physician's Profile

Full Name	Kelly W Wilson
Gender	Male
Speciality	Obstetrics/gynecology
Experience	35 Years
Location	220 East Harris Avenue, San Angelo, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly W Wilson attended and graduated from Texas Tech University Health Science Center School Of Medicine in 1990

NPI Data:

NPI Number: 1942283551
Provider Enumeration Date: 11/29/2005
Last Update Date: 06/11/2018

Medicare PECOS Information:

PECOS PAC ID: 3476569666
Enrollment ID: I20070912000463

Medical Identifiers

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

Identifier	Type	State	Issuer
1942283551	NPI	-	NPPES
117722201	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	J0368 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Shannon Medical Center	San angelo, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Shannon Clinic	0840103727	465

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 W Wilson allows following entities to bill medicare on his behalf.

Entity Name	Shannon Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702

Entity Name	Obhg Texas Holdings Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083917769 PECOS PAC ID: 3577713072 Enrollment ID: O20121018000279

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 W 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 W Wilson, MD Po Box 22000, San Angelo, TX 76902-7200 Ph: (325) 658-1511	Kelly W Wilson, MD 220 East Harris Avenue, San Angelo, TX 76903 Ph: (325) 658-1511

Reviews and Comments

Obstetrics & Gynecology Doctors in San Angelo, TX

Dr. Rosalinda Carrizales, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 220 E Harris Ave, San Angelo, TX 76903 Phone: 325-747-2285
Genevieve P. Mejia, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 220 East Harris, San Angelo, TX 76903 Phone: 325-658-1511
Victoria Marie Chavez, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 220 E Harris Ave, San Angelo, TX 76903 Phone: 325-747-2285
Jennifer M Moss, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 220 E Harris Ave, San Angelo, TX 76903 Phone: 325-747-2285 Fax: 325-944-9996
Dr. Deborah R Hajovsky, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 220 E Harris Ave, San Angelo, TX 76903 Phone: 325-747-2285
Dr. Charles D Harzke, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3605 Executive Dr, San Angelo, TX 76904 Phone: 325-949-9555 Fax: 325-224-5024
Lourell E Sutliff, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 225 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511

Kelly W Wilson, MD - Medicare Obstetrics/gynecology in San Angelo, TX