Dr Clark Alexander Wilson, MD in Tyler, TX

Dr Clark Alexander Wilson, MD is a medicare enrolled "Urology" physician in Tyler, Texas. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Urology. He is a member of the group practice Etmc Physician Group, Inc. and his current practice location is 700 Olympic Plaza Cir Ste 700, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (032) 623-9009.

Dr Clark Alexander Wilson is licensed to practice in Texas (license number Q7812) 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 1083963334.

Contact Information

	Dr Clark Alexander Wilson, MD
	700 Olympic Plaza Cir Ste 700, Tyler, TX 75701-1954
	(032) 623-9009
	(903) 262-3993

Map and Direction

Physician's Profile

Full Name	Dr Clark Alexander Wilson
Gender	Male
Speciality	Urology
Experience	13 Years
Location	700 Olympic Plaza Cir Ste 700, Tyler, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Clark Alexander Wilson graduated from medical school in 2011

NPI Data:

NPI Number: 1083963334
Provider Enumeration Date: 09/02/2012
Last Update Date: 08/10/2021

Medicare PECOS Information:

PECOS PAC ID: 3476843988
Enrollment ID: I20160610001625

Medical Identifiers

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

Identifier	Type	State	Issuer
1083963334	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	Q7812 (Texas)	Primary
208800000X	Urology	35.135944 (Ohio)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ut Health East Texas Tyler Regional Hospital	Tyler, TX	Hospital
The University Of Texas Health Science Center At Tyler	Tyler, TX	Hospital
Ut Health East Texas Jacksonville Hospital	Jacksonville, TX	Hospital
Ut Health East Texas Athens Hospital	Athens, TX	Hospital
Christus Mother Frances Hospital	Tyler, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Etmc Physician Group, Inc.	4486915600	278

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 Clark Alexander Wilson allows following entities to bill medicare on his behalf.

Entity Name	Texas Oncology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811944101 PECOS PAC ID: 5395658934 Enrollment ID: O20031124000323

Entity Name	Etmc Physician Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106

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 Clark Alexander 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 Clark Alexander Wilson, MD 700 Olympic Plaza Cir Ste 700, Tyler, TX 75701-1954 Ph: (032) 623-9009	Dr Clark Alexander Wilson, MD 700 Olympic Plaza Cir Ste 700, Tyler, TX 75701-1954 Ph: (032) 623-9009

Reviews and Comments

Urology Doctors in Tyler, TX

Steven Lomax, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir Ste 700, Tyler, TX 75701 Phone: 903-262-3900
Dr. Joseph Leonard Decarlo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir, Ste 700, Tyler, TX 75701 Phone: 903-262-3900 Fax: 903-262-3993
Dr. Charles T Dickson, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 700 Olympic Plaza Cir, Ste 700, Tyler, TX 75701 Phone: 903-262-3900 Fax: 903-262-3993
William Bruce Harrell, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St, Ste 600, Tyler, TX 75702 Phone: 903-526-2644
Dr. Robert Clay Williams, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir, Ste 700, Tyler, TX 75701 Phone: 903-262-3900 Fax: 903-262-3993
David A Peifer, DO Urology Medicare: Medicare Enrolled Practice Location: 910 E Houston St Ste 600, Tyler, TX 75702 Phone: 903-526-2644

Dr Clark Alexander Wilson, MD - Medicare Urology in Tyler, TX