Samuel Mayhew Wilson, MD in Clinton, SC

Samuel Mayhew Wilson, MD is a medicare enrolled "Surgery" physician in Clinton, South Carolina. His current practice location is 1073 Medical Ridge Rd, Clinton, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 833-3557.

Samuel Mayhew Wilson is licensed to practice in South Carolina (license number 33377) 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 1609844653.

Contact Information

	Samuel Mayhew Wilson, MD
	1073 Medical Ridge Rd, Clinton, SC 29325-4542
	(864) 833-3557
	(864) 833-7724

Map and Direction

Physician's Profile

Full Name	Samuel Mayhew Wilson
Gender	Male
Speciality	Surgery
Location	1073 Medical Ridge Rd, Clinton, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609844653
Provider Enumeration Date: 03/08/2006
Last Update Date: 06/21/2023

Medicare PECOS Information:

PECOS PAC ID: 7416137393
Enrollment ID: I20110518000179

Medical Identifiers

Medical identifiers for Samuel Mayhew Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609844653	NPI	-	NPPES
0000663301	Medicaid	DE
020042401	Other	DE	RAILROAD MEDICARE
333777	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	33377 (South Carolina)	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. Samuel Mayhew Wilson allows following entities to bill medicare on his behalf.

Entity Name	Prisma Health University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238

Entity Name	Greenville Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568532513 PECOS PAC ID: 8123938131 Enrollment ID: O20031212000723

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. Samuel Mayhew 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
Samuel Mayhew Wilson, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603	Samuel Mayhew Wilson, MD 1073 Medical Ridge Rd, Clinton, SC 29325-4542 Ph: (864) 833-3557

Reviews and Comments

Surgery Doctors in Clinton, SC

Stephen Paul Bayuk, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1012 Medical Ridge Rd, Clinton, SC 29325 Phone: 864-833-3852 Fax: 864-938-0501
Aaron Lee Price, Surgery Medicare: Not Enrolled in Medicare Practice Location: 1012 Medical Ridge Rd, Clinton, SC 29325 Phone: 864-833-3385 Fax: 864-938-0501
Dr. Mark David Herndon, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1012 Medical Ridge Rd, Clinton, SC 29325 Phone: 864-822-3852 Fax: 864-938-0501
Dr. Bruce A Marshall, M.D. , P.A. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1012 Medical Ridge Rd, Clinton, SC 29325 Phone: 864-833-3852 Fax: 864-938-0501
Mr. Rufus W Watkins, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1012 Medical Ridge Rd, Clinton, SC 29325 Phone: 864-833-3852 Fax: 864-938-0501
Carter Jameson Mccormack, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1012 Medical Ridge Rd, Clinton, SC 29325 Phone: 864-833-3852 Fax: 864-938-0501

Samuel Mayhew Wilson, MD - Medicare Surgery in Clinton, SC