Dr Chase Landon Wilson, MD is a medicare enrolled "Dermatology" physician in Georgetown, Kentucky. He went to University Of Kentucky College Of Medicine and graduated in 2013 and has 12 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Elkhorn Dermatology Pllc and his current practice location is
304 Boston Sq, Georgetown, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(502) 316-9425.
Dr Chase Landon Wilson is licensed to practice in Kentucky (license number 49577) 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 1053757641.
Physician's Profile
| Full Name | Dr Chase Landon Wilson |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 12 Years |
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| Location | 304 Boston Sq, Georgetown, Kentucky |
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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:
- Dr Chase Landon Wilson attended and graduated from University Of Kentucky College Of Medicine in 2013
NPI Data:
- NPI Number: 1053757641
- Provider Enumeration Date: 05/22/2013
- Last Update Date: 05/08/2017
Medicare PECOS Information:
- PECOS PAC ID: 5395988273
- Enrollment ID: I20170516000439
Medical Identifiers
Medical identifiers for Dr Chase Landon Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053757641 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 49577 (Kentucky) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | 11017046A (Indiana) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Elkhorn Dermatology Pllc | 1759668148 | 2 |
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 Chase Landon Wilson allows following entities to bill medicare on his behalf.
| Entity Name | Elkhorn Dermatology Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841722980
PECOS PAC ID: 1759668148
Enrollment ID: O20170512001464 |
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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. Dr Chase Landon 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 |
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Dr Chase Landon Wilson, MD
Po Box 956,
Georgetown, KY 40324-0956
Ph: (270) 564-1691 | Dr Chase Landon Wilson, MD
304 Boston Sq,
Georgetown, KY 40324-9786
Ph: (502) 316-9425 |
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