Dr Charles R Wilson, DO is a medicare enrolled "Family Medicine" physician in Sour Lake, Texas. His current practice location is
327 Morris Rd W, Sour Lake, Texas. You can reach out to his office (for appointments etc.) via phone at
(409) 753-2577.
Dr Charles R Wilson is licensed to practice in Texas (license number H8516) 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 1790799807.
Physician's Profile
Full Name | Dr Charles R Wilson |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 327 Morris Rd W, Sour Lake, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790799807
- Provider Enumeration Date: 07/27/2006
- Last Update Date: 05/01/2013
Medicare PECOS Information:
- PECOS PAC ID: 1254315344
- Enrollment ID: I20231005003676
Medical Identifiers
Medical identifiers for Dr Charles R Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790799807 | NPI | - | NPPES |
139218516 | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | H8516 (Texas) | Primary |
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 Charles R 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 Charles R Wilson, DO 327 Morris Rd W, Sour Lake, TX 77659-9774 Ph: (409) 753-2577 | Dr Charles R Wilson, DO 327 Morris Rd W, Sour Lake, TX 77659-9774 Ph: (409) 753-2577 |
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