Kurtis Wayne Wilson, DO is a medicare enrolled "Family Medicine" physician in Veedersburg, Indiana. His current practice location is
440 W Songer Ln, Veedersburg, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 762-4180.
Kurtis Wayne Wilson is licensed to practice in Indiana (license number 02008204A) 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 1518536580.
Physician's Profile
Full Name | Kurtis Wayne Wilson |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 440 W Songer Ln, Veedersburg, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1518536580
- Provider Enumeration Date: 06/23/2021
- Last Update Date: 01/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 3476083254
- Enrollment ID: I20250207003428
Medical Identifiers
Medical identifiers for Kurtis Wayne Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518536580 | NPI | - | NPPES |
3810-03-0390 | Other | IN | DRIVER'S LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 02008204A (Indiana) | 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. Kurtis Wayne Wilson allows following entities to bill medicare on his behalf.
Entity Name | St Vincent Williamsport Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518913565 PECOS PAC ID: 4486636776 Enrollment ID: O20040601001558 |
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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. Kurtis Wayne 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 |
Kurtis Wayne Wilson, DO 440 W Songer Ln, Veedersburg, IN 47987-8547 Ph: (765) 762-4180 | Kurtis Wayne Wilson, DO 440 W Songer Ln, Veedersburg, IN 47987-8547 Ph: (765) 762-4180 |
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