Donnelly Wilkes, is a medicare enrolled "Family Medicine" physician in Newbury Park, California. He went to Tulane University School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Summit Health Group Inc and his current practice location is
400 S Reino Rd, Suite 200, Newbury Park, California. You can reach out to his office (for appointments etc.) via phone at
(805) 499-4446.
Donnelly Wilkes is licensed to practice in California (license number A85368) 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 1033111836.
Physician's Profile
| Full Name | Donnelly Wilkes |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 22 Years |
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| Location | 400 S Reino Rd, Newbury Park, 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:
- Donnelly Wilkes attended and graduated from Tulane University School Of Medicine in 2002
NPI Data:
- NPI Number: 1033111836
- Provider Enumeration Date: 08/11/2005
- Last Update Date: 06/12/2015
Medicare PECOS Information:
- PECOS PAC ID: 2062564933
- Enrollment ID: I20090723000730
Medical Identifiers
Medical identifiers for Donnelly Wilkes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033111836 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | A85368 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Summit Health Group Inc | 4587967575 | 5 |
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. Donnelly Wilkes allows following entities to bill medicare on his behalf.
| Entity Name | Summit Health Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497125868
PECOS PAC ID: 4587967575
Enrollment ID: O20160126000564 |
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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. Donnelly Wilkes 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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Donnelly Wilkes,
400 S Reino Rd, Suite 200,
Newbury Park, CA 91320-4284
Ph: (805) 499-4446 | Donnelly Wilkes,
400 S Reino Rd, Suite 200,
Newbury Park, CA 91320-4284
Ph: (805) 499-4446 |
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