David Wilson, MD - Medicare Family Practice in Southlake, TX

David Wilson, MD is a medicare enrolled "Family Medicine" physician in Southlake, Texas. He went to University Of Texas Medical School At San Antonio and graduated in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Valora Medical Center Llc and his current practice location is 1050 E. Hwy. 114, Suite 100, Southlake, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 329-8364.

David Wilson is licensed to practice in Texas (license number R0813) 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 1326468901.

Contact Information

David Wilson, MD
1050 E. Hwy. 114, Suite 100,
Southlake, TX 76092-4917
(817) 329-8364
(817) 329-1285

Map and Direction




Physician's Profile

Full NameDavid Wilson
GenderMale
SpecialityFamily Practice
Experience10 Years
Location1050 E. Hwy. 114, Southlake, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • David Wilson attended and graduated from University Of Texas Medical School At San Antonio in 2014
  NPI Data:
  • NPI Number: 1326468901
  • Provider Enumeration Date: 04/22/2014
  • Last Update Date: 09/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9234401076
  • Enrollment ID: I20170815000441

Medical Identifiers

Medical identifiers for David Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326468901NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine R0813 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baylor Scott & White Medical Center GrapevineGrapevine, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Valora Medical Center Llc488009598313

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. David Wilson allows following entities to bill medicare on his behalf.
Entity NameNorth Country Family Practice, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790976934
PECOS PAC ID: 0446225270
Enrollment ID: O20040826000575
Entity NameConcord Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083630610
PECOS PAC ID: 0446296818
Enrollment ID: O20050707000531
Entity NameComanche County Medical Center Company
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346544616
PECOS PAC ID: 3678753357
Enrollment ID: O20110825000076
Entity NameValora Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831772052
PECOS PAC ID: 4880095983
Enrollment ID: O20210628000766

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. David 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 AddressPractice Location Address
David Wilson, MD
1050 E. Hwy. 114, Suite 100,
Southlake, TX 76092-4917

Ph: (817) 329-8364
David Wilson, MD
1050 E. Hwy. 114, Suite 100,
Southlake, TX 76092-4917

Ph: (817) 329-8364

Reviews and Comments


Family Medicine Doctors in Southlake, TX

Dr. Amity L Smith, MD
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Jake Sanchez, FNP
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Susan Garza Anderson, MD
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Vijayabhasker K Reddy, MD
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Practice Location: 909 Aspen Ridge Dr, Southlake, TX 76092
Phone: 817-917-6647    Fax: 870-338-8239
Mrs. Kayla Anne Miles,
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Medicare: Not Enrolled in Medicare
Practice Location: 550 N Carroll Ave, Southlake, TX 76092
Phone: 817-481-2444    Fax: 817-421-0277

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.