W Winston Wilfong, MD is a medicare enrolled "Urology" physician in Moultrie, Georgia. His current practice location is
4 Live Oak Ct, Moultrie, Georgia. You can reach out to his office (for appointments etc.) via phone at
(229) 785-2400.
W Winston Wilfong is licensed to practice in Georgia (license number 028479) 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 1760518773.
Physician's Profile
Full Name | W Winston Wilfong |
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Gender | Male |
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Speciality | Urology |
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Location | 4 Live Oak Ct, Moultrie, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1760518773
- Provider Enumeration Date: 02/26/2007
- Last Update Date: 11/08/2016
Medicare PECOS Information:
- PECOS PAC ID: 7113969817
- Enrollment ID: I20100526001088
Medical Identifiers
Medical identifiers for W Winston Wilfong such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760518773 | NPI | - | NPPES |
000391036B | Medicaid | GA | |
202G701316 | Other | GA | MEDICARE GROUP PTAN |
102I342359 | Other | GA | MEDICARE PTAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 028479 (Georgia) | 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. W Winston Wilfong 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 |
W Winston Wilfong, MD Po Box 1539, Moultrie, GA 31776-1539 Ph: (229) 785-2400 | W Winston Wilfong, MD 4 Live Oak Ct, Moultrie, GA 31768-6783 Ph: (229) 785-2400 |
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