Mark Davis Wilson, MD in Tifton, GA

Mark Davis Wilson, MD is a medicare enrolled "Pediatrics" physician in Tifton, Georgia. His current practice location is 215 12th St W, Tifton, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 396-5335.

Mark Davis Wilson is licensed to practice in Georgia (license number 069737) 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 1003132754.

Contact Information

	Mark Davis Wilson, MD
	215 12th St W, Tifton, GA 31794-3923
	(229) 396-5335
	(229) 396-5330

Map and Direction

Physician's Profile

Full Name	Mark Davis Wilson
Gender	Male
Speciality	Pediatrics
Location	215 12th St W, Tifton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003132754
Provider Enumeration Date: 04/19/2010
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 7911206453
Enrollment ID: I20160504001183

Medical Identifiers

Medical identifiers for Mark Davis Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003132754	NPI	-	NPPES
69737	Other	GA	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	069737 (Georgia)	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. Mark Davis Wilson allows following entities to bill medicare on his behalf.

Entity Name	Careconnect Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063436624 PECOS PAC ID: 7810980794 Enrollment ID: O20040406001286

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. Mark Davis 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
Mark Davis Wilson, MD 215 12th St W, Tifton, GA 31794-3923 Ph: (229) 396-5335	Mark Davis Wilson, MD 215 12th St W, Tifton, GA 31794-3923 Ph: (229) 396-5335

Reviews and Comments

Pediatrics Doctors in Tifton, GA

Dr. Qamar U Shaikh, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1909 Us Highway 82 W Ste 3&4, Tifton, GA 31793 Phone: 229-445-3509 Fax: 229-445-3513
Noreen Mian, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-382-7120
Dr. Sharon Nackashi, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-382-7120
Hannah Batten, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 39 Kent Rd Ste 5, Tifton, GA 31794 Phone: 229-353-7337
Dr. Nikkia F. Johnson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 39 Kent Rd Ste 5, Tifton, GA 31794 Phone: 229-353-7337 Fax: 229-391-4051
Dixie Dawn Griffin, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 39 Kent Rd, Suite 5, Tifton, GA 31794 Phone: 229-353-7337

Mark Davis Wilson, MD - Medicare Pediatrics in Tifton, GA