Dr Ryan J Wilson, OD is a medicare enrolled "Optometrist" provider in Geneseo, Illinois. He went to Illinois College Of Optometry At Chicago and graduated in 2003 and has 21 years of diverse experience with area of expertise as Optometry. His current practice location is
112 S Center St, Geneseo, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 944-5303.
Dr Ryan J Wilson is licensed to practice in Illinois (license number 046009598) 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 1407832454.
Healthcare Provider's Profile
Full Name | Dr Ryan J Wilson |
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Gender | Male |
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Speciality | Optometry |
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Experience | 21 Years |
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Location | 112 S Center St, Geneseo, Illinois |
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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:
- Dr Ryan J Wilson attended and graduated from Illinois College Of Optometry At Chicago in 2003
NPI Data:
- NPI Number: 1407832454
- Provider Enumeration Date: 12/21/2005
- Last Update Date: 02/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870492580
- Enrollment ID: I20031231000725
Medical Identifiers
Medical identifiers for Dr Ryan J Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407832454 | NPI | - | NPPES |
046009598 | Medicaid | IL | |
977130 | Other | | IL GROUP MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 046009598 (Illinois) | 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. Dr Ryan J Wilson allows following entities to bill medicare on his behalf.
Provider Name | Vision Source Geneseo Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1073909354 PECOS PAC ID: 1759692635 Enrollment ID: O20150618001717 |
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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. Dr Ryan J 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 |
Dr Ryan J Wilson, OD 112 S Center St, Geneseo, IL 61254-1338 Ph: (309) 944-5303 | Dr Ryan J Wilson, OD 112 S Center St, Geneseo, IL 61254-1338 Ph: (309) 944-5303 |
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