Samuel Wilson, - Medicare Emergency Medicine in Chattanooga, TN

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Samuel Wilson, is a medicare enrolled "Emergency Medicine" physician in Chattanooga, Tennessee. He went to University Of Alabama School Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Decatur Morgan Emergency Medicine and his current practice location is 2525 Desales Ave, Chattanooga, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 697-0014.

Samuel Wilson is licensed to practice in Tennessee (license number 63891) 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 1083110514.

Contact Information

Samuel Wilson,
2525 Desales Ave,
Chattanooga, TN 37404-1161
(423) 697-0014
(423) 648-6280

Map and Direction




Physician's Profile

Full NameSamuel Wilson
GenderMale
SpecialityEmergency Medicine
Experience6 Years
Location2525 Desales Ave, Chattanooga, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samuel Wilson attended and graduated from University Of Alabama School Of Medicine in 2018
  NPI Data:
  • NPI Number: 1083110514
  • Provider Enumeration Date: 04/03/2018
  • Last Update Date: 08/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8729403423
  • Enrollment ID: I20220615001117

Medical Identifiers

Medical identifiers for Samuel Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083110514NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 63891 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Decatur Morgan Hospital - Decatur CampusDecatur, ALHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Decatur Morgan Emergency Medicine044668086221

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 Wilson allows following entities to bill medicare on his behalf.
Entity NameDecatur Morgan Emergency Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316571615
PECOS PAC ID: 0446680862
Enrollment ID: O20200424001929

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 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 AddressPractice Location Address
Samuel Wilson,
725 Glenwood Dr Ste E487,
Chattanooga, TN 37404-1173

Ph: (423) 697-0014		Samuel Wilson,
2525 Desales Ave,
Chattanooga, TN 37404-1161

Ph: (423) 697-0014

Reviews and Comments


Emergency Medicine Doctors in Chattanooga, TN

Joseph Kerby Gray, MD
Emergency Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 2525 De Sales Ave, Chattanooga, TN 37404
Phone: 423-495-2525    
Ronald A. Gracy Ii, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 941 Spring Creek Rd, Chattanooga, TN 37412
Phone: 423-894-7870    Fax: 865-539-8008
Dr. Jocelyn May De Guzman, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1755 Gunbarrel Rd, Chattanooga, TN 37421
Phone: 423-680-8534    
Dr. Jeffrey Durant Clinkscales, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 975 E 3rd St, Chattanooga, TN 37403
Phone: 423-778-7628    
Dr. Shelley L Murphy, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1018 Blackford Street, Chattanooga, TN 37403
Phone: 423-778-7000    
Dr. James B Bardoner, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 975 E 3rd St, Chattanooga, TN 37403
Phone: 423-778-7296    Fax: 423-778-8086

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.