Dr Carl Wilson, MD in Santa Rosa, CA - Medicare Internal Medicine

Dr Carl Wilson, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Santa Rosa, California. His current practice location is 435 Doyle Park Dr, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 527-9510.

Dr Carl Wilson is licensed to practice in California (license number G44318) 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 1033110465.

Contact Information

	Dr Carl Wilson, MD
	435 Doyle Park Dr, Santa Rosa, CA 95405-4515
	(707) 527-9510
	(707) 527-1306

Map and Direction

Physician's Profile

Full Name	Dr Carl Wilson
Gender	Male
Speciality	Internal Medicine - Nephrology
Location	435 Doyle Park Dr, Santa Rosa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033110465
Provider Enumeration Date: 08/09/2005
Last Update Date: 07/25/2017

Medicare PECOS Information:

PECOS PAC ID: 6406763143
Enrollment ID: I20090120000050

Medical Identifiers

Medical identifiers for Dr Carl Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033110465	NPI	-	NPPES
00G443180	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	G44318 (California)	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 Carl Wilson allows following entities to bill medicare on his behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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 Carl 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
Dr Carl Wilson, MD 435 Doyle Park Dr, Santa Rosa, CA 95405-4515 Ph: (707) 527-9510	Dr Carl Wilson, MD 435 Doyle Park Dr, Santa Rosa, CA 95405-4515 Ph: (707) 527-9510

Reviews and Comments

Internal Medicine Doctors in Santa Rosa, CA

Rajveer Sangera, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 500 Doyle Park Dr Ste G04, Santa Rosa, CA 95405 Phone: 707-576-7100
Dr. Yulia Rivelis, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3883 Airway Dr, Santa Rosa, CA 95403 Phone: 707-573-5458 Fax: 707-573-5458
Soheila Benrazavi, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 4730 Hoen Ave, Santa Rosa, CA 95405 Phone: 707-528-1616
Suhana Elamsenthil, MD Nephrology Medicare: Medicare Enrolled Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000
Jarrod Paul Holmes, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3555 Round Barn Cir, Santa Rosa, CA 95403 Phone: 707-528-1050 Fax: 707-525-3874
Dr. James Andrew Driscoll, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 4001 Split Rail Ct, Santa Rosa, CA 95403 Phone: 512-459-6599
Dominic Joseph Picetti, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000

Dr Carl Wilson, MD - Medicare Internal Medicine in Santa Rosa, CA