Dr Sidney Maurice Wilson, OD is a medicare enrolled "Optometrist - Corneal And Contact Management" provider in Byram, Mississippi. His current practice location is
6745 S Siwell Rd, Suite 106, Byram, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 373-0354.
Dr Sidney Maurice Wilson is licensed to practice in Mississippi (license number 568) 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 1093859563.
Healthcare Provider's Profile
| Full Name | Dr Sidney Maurice Wilson |
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| Gender | Male |
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| Speciality | Optometrist - Corneal And Contact Management |
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| Location | 6745 S Siwell Rd, Byram, Mississippi |
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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: 1093859563
- Provider Enumeration Date: 02/17/2007
- Last Update Date: 02/17/2011
Medicare PECOS Information:
- PECOS PAC ID: 1355306796
- Enrollment ID: I20041124000313
Medical Identifiers
Medical identifiers for Dr Sidney Maurice Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093859563 | NPI | - | NPPES |
| 02229351 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152WC0802X | Optometrist - Corneal And Contact Management | 568 (Mississippi) | 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 Sidney Maurice Wilson allows following entities to bill medicare on his behalf.
| Provider Name | Aaron E Henry Community Health |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1003814104
PECOS PAC ID: 1153230560
Enrollment ID: O20040330001267 |
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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 Sidney Maurice 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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Dr Sidney Maurice Wilson, OD
6745 S Siwell Rd, Suite 106,
Byram, MS 39272-8700
Ph: (601) 373-0354 | Dr Sidney Maurice Wilson, OD
6745 S Siwell Rd, Suite 106,
Byram, MS 39272-8700
Ph: (601) 373-0354 |
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