Dr Brian Wiboon, DO - Medicare Emergency Medicine in Windermere, FL

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Dr Brian Wiboon, DO is a medicare enrolled "Emergency Medicine" physician in Windermere, Florida. His current practice location is 5143 Tildens Grove Blvd, Windermere, Florida. You can reach out to his office (for appointments etc.) via phone at (407) 656-9908.

Dr Brian Wiboon is licensed to practice in Florida (license number OS0008848) 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 1952378929.

Contact Information

Dr Brian Wiboon, DO
5143 Tildens Grove Blvd,
Windermere, FL 34786-5702
(407) 656-9908
(407) 656-9908

Map and Direction




Physician's Profile

Full NameDr Brian Wiboon
GenderMale
SpecialityEmergency Medicine
Location5143 Tildens Grove Blvd, Windermere, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952378929
  • Provider Enumeration Date: 03/08/2006
  • Last Update Date: 03/23/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8628977238
  • Enrollment ID: I20100928001128

Medical Identifiers

Medical identifiers for Dr Brian Wiboon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952378929NPI-NPPES
71049OtherFLBCBS
267324000MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine OS0008848 (Florida)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. Dr Brian Wiboon allows following entities to bill medicare on his behalf.
Entity NameSolantic/south Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851344378
PECOS PAC ID: 5496762171
Enrollment ID: O20060321000740
Entity NameSolantic Of Jacksonville Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407893100
PECOS PAC ID: 1052409307
Enrollment ID: O20071120000271
Entity NameHma-solantic Joint Venture Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689812109
PECOS PAC ID: 6002955788
Enrollment ID: O20091209000716
Entity NameShands-solantic Joint Venture Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558595223
PECOS PAC ID: 4183764178
Enrollment ID: O20091223000343
Entity NameEmergency Physician Solutions Of North Florida, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558731901
PECOS PAC ID: 3072815869
Enrollment ID: O20160112000001
Entity NameCarespot Of Orlando Hsi Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306367503
PECOS PAC ID: 8921372558
Enrollment ID: O20170921000186

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. Dr Brian Wiboon 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
Dr Brian Wiboon, DO
5143 Tildens Grove Blvd,
Windermere, FL 34786-5702

Ph: (407) 656-9908		Dr Brian Wiboon, DO
5143 Tildens Grove Blvd,
Windermere, FL 34786-5702

Ph: (407) 656-9908

Reviews and Comments


Emergency Medicine Doctors in Windermere, FL

Dr. Mariano De La Mata, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 13506 Summerport Village Pkwy, #341, Windermere, FL 34786
Phone: 865-406-9069    
Dr. Kimberly Ann Bruno-de La Mata, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 13506 Summerport Village Pkwy, #341, Windermere, FL 34786
Phone: 865-363-3330    

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.