Dr Donald R Wilson, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Angwin, California. He graduated from medical school in 1971 and has 53 years of diverse experience with area of expertise as Cardiac Surgery. He is a member of the group practice Adventist Health Physicians Network and his current practice location is
715 Linda Falls Ter, Angwin, California. You can reach out to his office (for appointments etc.) via phone at
(707) 965-2181.
Dr Donald R Wilson is licensed to practice in California (license number A24934) 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 1275513376.
Physician's Profile
| Full Name | Dr Donald R Wilson |
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| Gender | Male |
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| Speciality | Cardiac Surgery |
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| Experience | 53 Years |
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| Location | 715 Linda Falls Ter, Angwin, California |
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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 Donald R Wilson graduated from medical school in 1971
NPI Data:
- NPI Number: 1275513376
- Provider Enumeration Date: 01/17/2006
- Last Update Date: 04/07/2011
Medicare PECOS Information:
- PECOS PAC ID: 5193758084
- Enrollment ID: I20050912001020
Medical Identifiers
Medical identifiers for Dr Donald R Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275513376 | NPI | - | NPPES |
| 00A249340 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | A24934 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Adventist Health Physicians Network | 3274580972 | 544 |
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 Donald R Wilson allows following entities to bill medicare on his behalf.
| Entity Name | Adventist Health Physicians Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063718583
PECOS PAC ID: 3274580972
Enrollment ID: O20050407000633 |
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| Entity Name | Donald R Wilson Md Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790033959
PECOS PAC ID: 0143478347
Enrollment ID: O20120913000091 |
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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 Donald 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 |
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Dr Donald R Wilson, MD
Po Box 714,
Angwin, CA 94508-0714
Ph: (707) 965-2181 | Dr Donald R Wilson, MD
715 Linda Falls Ter,
Angwin, CA 94508-9684
Ph: (707) 965-2181 |
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