Darryel Alexander Wilson, MD in Covington, GA

Darryel Alexander Wilson, MD is a medicare enrolled "Family Medicine" physician in Covington, Georgia. His current practice location is 14779 Brown Bridge Rd, Covington, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 788-7777.

Darryel Alexander Wilson is licensed to practice in Georgia (license number 95240) 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 1285291286.

Contact Information

	Darryel Alexander Wilson, MD
	14779 Brown Bridge Rd, Covington, GA 30016-4127
	(770) 788-7777
	Not Available

Map and Direction

Physician's Profile

Full Name	Darryel Alexander Wilson
Gender	Male
Speciality	Family Medicine
Location	14779 Brown Bridge Rd, Covington, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285291286
Provider Enumeration Date: 05/24/2019
Last Update Date: 05/31/2023

Medicare PECOS Information:

PECOS PAC ID: 5799015483
Enrollment ID: I20230511000535

Medical Identifiers

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

Identifier	Type	State	Issuer
1285291286	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	95240 (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. Darryel Alexander Wilson allows following entities to bill medicare on his behalf.

Entity Name	Piedmont Medical Care Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912956046 PECOS PAC ID: 6002802220 Enrollment ID: O20040422001500

Entity Name	Wellstreet Of Georgia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235411547 PECOS PAC ID: 7517126279 Enrollment ID: O20120315000603

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. Darryel Alexander 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
Darryel Alexander Wilson, MD 2465 Wall St Se, Conyers, GA 30013-6342 Ph: (770) 231-9413	Darryel Alexander Wilson, MD 14779 Brown Bridge Rd, Covington, GA 30016-4127 Ph: (770) 788-7777

Reviews and Comments

Family Medicine Doctors in Covington, GA

Anne Marie Lindsay-allen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5154 Cook St Ne, Covington, GA 30014 Phone: 770-788-1778 Fax: 770-788-1285
Ms. Parisa Biazar, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 9202 Highway 278 Ne, Covington, GA 30014 Phone: 678-342-8660
Dr. Fabio Katureebe Banegura, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4124 Highway 278 Ne, Covington, GA 30014 Phone: 770-786-5000
Dr. Matthew B Mote, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6175 Newton Dr Ne, Covington, GA 30014 Phone: 770-787-5600
Dr. Renee Nicole Frederick, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5126 Hospital Dr Ne, Covington, GA 30014 Phone: 770-786-7053
Dr. Wendell Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5294 Adams St Ne, Covington, GA 30014 Phone: 770-787-5600 Fax: 770-787-5601

Darryel Alexander Wilson, MD - Medicare Family Medicine in Covington, GA