Dr Paul Kent Wilson, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Jonesborough, Tennessee. He graduated from medical school in 2008 and has 17 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Gracemed Health Clinic Inc and his current practice location is
110 Bermuda Dr, Jonesborough, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(515) 537-7592.
Dr Paul Kent Wilson is licensed to practice in Tennessee (license number 732) 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 1912137217.
Healthcare Provider's Profile
| Full Name | Dr Paul Kent Wilson |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 17 Years |
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| Location | 110 Bermuda Dr, Jonesborough, Tennessee |
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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. |
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Medical Education and Training:
- Dr Paul Kent Wilson graduated from medical school in 2008
NPI Data:
- NPI Number: 1912137217
- Provider Enumeration Date: 07/21/2009
- Last Update Date: 06/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 4587842810
- Enrollment ID: I20231221002794
Medical Identifiers
Medical identifiers for Dr Paul Kent Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912137217 | NPI | - | NPPES |
| 0103301077 | Other | VA | VIRGINIA PODIATRY LICENSE |
| 732 | Other | TN | TENNEESEE PODIATRY LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 732 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Gracemed Health Clinic Inc | 9830098185 | 7 |
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 Paul Kent Wilson allows following entities to bill medicare on his behalf.
| Provider Name | Gracemed Health Clinic Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1184691693
PECOS PAC ID: 9830098185
Enrollment ID: O20040106000520 |
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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 Paul Kent 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 Paul Kent Wilson, DPM
110 Bermuda Dr,
Jonesborough, TN 37659-3166
Ph: (515) 537-7592 | Dr Paul Kent Wilson, DPM
110 Bermuda Dr,
Jonesborough, TN 37659-3166
Ph: (515) 537-7592 |
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