Thomas A Wilson, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in West End, North Carolina. His current practice location is
778 Hoffman Rd, West End, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(877) 472-2302.
Thomas A Wilson is licensed to practice in North Carolina (license number 19427) 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 1366485443.
Physician's Profile
| Full Name | Thomas A Wilson |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 778 Hoffman Rd, West End, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1366485443
- Provider Enumeration Date: 06/14/2006
- Last Update Date: 11/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 0749372415
- Enrollment ID: I20070827000059
Medical Identifiers
Medical identifiers for Thomas A Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366485443 | NPI | - | NPPES |
| 8988468 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 19427 (North 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. Thomas A Wilson allows following entities to bill medicare on his behalf.
| Entity Name | Daymark Recovery Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558329243
PECOS PAC ID: 0547233975
Enrollment ID: O20040814000213 |
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| Entity Name | Advantage Behavioral Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689750663
PECOS PAC ID: 3779771316
Enrollment ID: O20101222000938 |
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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. Thomas A 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 |
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Thomas A Wilson, MD
339 Wildlife Rd,
Sanford, NC 27332-0846
Ph: (336) 267-1186 | Thomas A Wilson, MD
778 Hoffman Rd,
West End, NC 27376-9029
Ph: (877) 472-2302 |
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