Paul Forrestal Wilson, MD is a medicare enrolled "Otolaryngology" physician in Crawfordsville, Indiana. He went to Indiana University School Of Medicine and graduated in 2015 and has 10 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Lafayette Otolaryngology Associates, Inc, Franciscan Physician Network and his current practice location is
1630 Lafayette Rd Ste 100, Crawfordsville, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 364-1611.
Paul Forrestal Wilson is licensed to practice in Indiana (license number 01083828A) 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 1396139572.
Physician's Profile
| Full Name | Paul Forrestal Wilson |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 10 Years |
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| Location | 1630 Lafayette Rd Ste 100, Crawfordsville, Indiana |
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| 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:
- Paul Forrestal Wilson attended and graduated from Indiana University School Of Medicine in 2015
NPI Data:
- NPI Number: 1396139572
- Provider Enumeration Date: 03/25/2015
- Last Update Date: 01/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 1254755697
- Enrollment ID: I20200720000501
Medical Identifiers
Medical identifiers for Paul Forrestal Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1396139572 | NPI | - | NPPES |
| 300041061 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Y00000X | Otolaryngology | 01083828A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Lafayette Otolaryngology Associates, Inc | 2466443395 | 4 |
| Franciscan Physician Network | 3072790682 | 1041 |
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. Paul Forrestal Wilson allows following entities to bill medicare on his behalf.
| Entity Name | Lafayette Otolaryngology Associates, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720157951 PECOS PAC ID: 2466443395 Enrollment ID: O20040520000238 |
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| Entity Name | Hendricks County Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497536163 PECOS PAC ID: 4880505528 Enrollment ID: O20040811000309 |
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| Entity Name | Franciscan Physician Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
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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. Paul Forrestal 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 |
Paul Forrestal Wilson, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Paul Forrestal Wilson, MD 1630 Lafayette Rd Ste 100, Crawfordsville, IN 47933-1091 Ph: (765) 364-1611 |
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