Reginald Calvert Wilson Jr, is a medicare enrolled "Social Worker - Clinical" provider in Durham, North Carolina. His current practice location is
1502 W Nc Highway 54 Ste 403, Durham, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(919) 418-1718.
Reginald Calvert Wilson Jr is licensed to practice in North Carolina (license number P013752) 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 1720619414.
Healthcare Provider's Profile
| Full Name | Reginald Calvert Wilson Jr |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1502 W Nc Highway 54 Ste 403, Durham, 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: 1720619414
- Provider Enumeration Date: 01/31/2020
- Last Update Date: 12/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 8527590348
- Enrollment ID: I20241017004439
Medical Identifiers
Medical identifiers for Reginald Calvert Wilson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720619414 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | P013752 (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. Reginald Calvert Wilson Jr allows following entities to bill medicare on his behalf.
| Entity Name | Tonya D Armstrong Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235264730
PECOS PAC ID: 9335565712
Enrollment ID: O20200817000211 |
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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. Reginald Calvert Wilson Jr 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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Reginald Calvert Wilson Jr,
520 Calloway Dr,
Raleigh, NC 27610-4008
Ph: (919) 412-2662 | Reginald Calvert Wilson Jr,
1502 W Nc Highway 54 Ste 403,
Durham, NC 27707-5599
Ph: (919) 418-1718 |
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