Mr Benjamin Frederick Wilson, MD in Portland, ME - Medicare Student in an Organized Health Care Education/Training Program

Mr Benjamin Frederick Wilson, MD - Medicare Student in an Organized Health Care Education/Training Program in Portland, ME

Mr Benjamin Frederick Wilson, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Portland, Maine. His current practice location is Maine Medical Center, 22 Bramhall Street, Portland, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 662-0111.

Mr Benjamin Frederick Wilson is licensed to practice in * (Not Available) (license number ) 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 1598225583.

Contact Information

	Mr Benjamin Frederick Wilson, MD
	Maine Medical Center, 22 Bramhall Street, Portland, ME 04102
	(207) 662-0111
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Benjamin Frederick Wilson
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	Maine Medical Center, Portland, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598225583
Provider Enumeration Date: 03/25/2019
Last Update Date: 06/06/2024

Medicare PECOS Information:

PECOS PAC ID: 9931526787
Enrollment ID: I20200825003640

Medical Identifiers

Medical identifiers for Mr Benjamin Frederick Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598225583	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	0101270233 (Virginia)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

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. Mr Benjamin Frederick 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
Mr Benjamin Frederick Wilson, MD 96 Applecrest Dr, Yarmouth, ME 04096-8311 Ph: (757) 470-1925	Mr Benjamin Frederick Wilson, MD Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 Ph: (207) 662-0111