Cory M Wilson, MD is a medicare enrolled "Emergency Medicine" physician in Castaic, California. He went to University Of Colorado School Of Medicine, Denver and graduated in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is
27716 Wilderness Pl, Castaic, California. You can reach out to his office (for appointments etc.) via phone at
(661) 200-3581.
Cory M Wilson is licensed to practice in Nebraska (license number 22843) 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 1689648966.
Physician's Profile
| Full Name | Cory M Wilson |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 29 Years |
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| Location | 27716 Wilderness Pl, Castaic, California |
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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:
- Cory M Wilson attended and graduated from University Of Colorado School Of Medicine, Denver in 1995
NPI Data:
- NPI Number: 1689648966
- Provider Enumeration Date: 02/14/2006
- Last Update Date: 09/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 3072554914
- Enrollment ID: I20110803000192
Medical Identifiers
Medical identifiers for Cory M Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689648966 | NPI | - | NPPES |
| 47042628500 | Medicaid | NE | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 22843 (Nebraska) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southern California Permanente Medical Group | 6002729175 | 8172 |
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. Cory M Wilson allows following entities to bill medicare on his behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
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| Entity Name | Chase Dennis Emergency Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033152350
PECOS PAC ID: 2264345172
Enrollment ID: O20040729000498 |
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| Entity Name | Sound Physicians Emergency Medicine Of Southern California Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194180968
PECOS PAC ID: 9436406964
Enrollment ID: O20180716001079 |
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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. Cory M 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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Cory M Wilson, MD
27716 Wilderness Pl,
Castaic, CA 91384-4117
Ph: (661) 200-3581 | Cory M Wilson, MD
27716 Wilderness Pl,
Castaic, CA 91384-4117
Ph: (661) 200-3581 |
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