Cassandra L Wilson, MD is a medicare enrolled "Pediatrics" physician in Ellijay, Georgia. Her current practice location is
80 Cinema Dr, Ellijay, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 635-6898.
Cassandra L Wilson is licensed to practice in Georgia (license number 62301) 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 1487831020.
Physician's Profile
Full Name | Cassandra L Wilson |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 80 Cinema Dr, Ellijay, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487831020
- Provider Enumeration Date: 01/25/2008
- Last Update Date: 02/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 1557549151
- Enrollment ID: I20110630000355
Medical Identifiers
Medical identifiers for Cassandra L Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487831020 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 62301 (Georgia) | 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. Cassandra L Wilson allows following entities to bill medicare on her behalf.
Entity Name | Georgia Mountains Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538123666 PECOS PAC ID: 7719974831 Enrollment ID: O20040429000383 |
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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. Cassandra L 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 |
Cassandra L Wilson, MD 165 Blue Ridge Overlook, Blue Ridge, GA 30513-4431 Ph: (706) 946-5607 | Cassandra L Wilson, MD 80 Cinema Dr, Ellijay, GA 30540-2592 Ph: (706) 635-6898 |
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