Carol Wilson, MD in St Petersburg, FL

Carol Wilson, MD is a medicare enrolled "Pediatrics" physician in St Petersburg, Florida. Her current practice location is 601 5th St S, Dept 6590, St Petersburg, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 767-7739.

Carol Wilson is licensed to practice in Florida (license number ME79468) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376561415.

Contact Information

	Carol Wilson, MD
	601 5th St S, Dept 6590, St Petersburg, FL 33701-4804
	(727) 767-7739
	Not Available

Map and Direction

Physician's Profile

Full Name	Carol Wilson
Gender	Female
Speciality	Pediatrics
Location	601 5th St S, St Petersburg, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376561415
Provider Enumeration Date: 07/17/2006
Last Update Date: 09/16/2013

Medicare PECOS Information:

PECOS PAC ID: 0244272722
Enrollment ID: I20240318002375

Medical Identifiers

Medical identifiers for Carol Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376561415	NPI	-	NPPES
78648	Other	FL	BCBS
891451E	Medicaid	NC
125195254A	Medicaid	GA
265213700	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	ME79468 (Florida)	Primary
208000000X	Pediatrics	200700845 (North Carolina)	Secondary

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. Carol Wilson allows following entities to bill medicare on her behalf.

Entity Name	Big Springs Medical Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225045321 PECOS PAC ID: 6709871007 Enrollment ID: O20040416000695

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. Carol 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
Carol Wilson, MD 601 5th St S, Dept 6590, St Petersburg, FL 33701-4804 Ph: (727) 767-7739	Carol Wilson, MD 601 5th St S, Dept 6590, St Petersburg, FL 33701-4804 Ph: (727) 767-7739

Reviews and Comments

Pediatrics Doctors in St Petersburg, FL

Dr. Stephen Rogers Kennedy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 501 6th Ave S, St Petersburg, FL 33701 Phone: 727-767-4243 Fax: 727-767-8612
Supamit Ukarapong, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 601 5th St S, St Petersburg, FL 33701 Phone: 727-767-3636
Kristy W Patel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 501 6th Ave S, St Petersburg, FL 33701 Phone: 727-767-4243 Fax: 727-767-8612
Kenneth Franz-joseph Hearn, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6671 13th Ave N Ste 1d, St Petersburg, FL 33710 Phone: 727-381-1147 Fax: 727-345-2489
Dr. Lori Ann Mcauliffe, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 405 Pasadena Ave S, St Petersburg, FL 33707 Phone: 727-345-2212 Fax: 727-381-3444
Dr. Mayer Michael Eisenfeld, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1800 9th St N, St Petersburg, FL 33704 Phone: 727-821-2121 Fax: 727-822-3285
Dr. Jennifer Beck Dean, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 601 5th St S, St Petersburg, FL 33701 Phone: 727-767-4176

Carol Wilson, MD - Medicare Pediatrics in St Petersburg, FL