Dr James Cornelius Wilson Iii, is a medicare enrolled "Family Medicine" physician in West Brookfield, Massachusetts. He went to State University Of New York At Stony Brook, School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice West Brookfield Family Practice and his current practice location is
46 N Main St, West Brookfield, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(508) 867-8977.
Dr James Cornelius Wilson Iii is licensed to practice in Massachusetts (license number 219183) 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 1285622365.
Physician's Profile
| Full Name | Dr James Cornelius Wilson Iii |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 25 Years |
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| Location | 46 N Main St, West Brookfield, Massachusetts |
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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 James Cornelius Wilson Iii attended and graduated from State University Of New York At Stony Brook, School Of Medicine in 1999
NPI Data:
- NPI Number: 1285622365
- Provider Enumeration Date: 10/12/2005
- Last Update Date: 02/19/2016
Medicare PECOS Information:
- PECOS PAC ID: 1850353731
- Enrollment ID: I20041102001044
Medical Identifiers
Medical identifiers for Dr James Cornelius Wilson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285622365 | NPI | - | NPPES |
| 2096200 | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 219183 (Massachusetts) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| West Brookfield Family Practice | 2466509625 | 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 James Cornelius Wilson Iii allows following entities to bill medicare on his behalf.
| Entity Name | West Brookfield Family Practice |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205032463
PECOS PAC ID: 2466509625
Enrollment ID: O20090407000553 |
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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 James Cornelius Wilson Iii 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 James Cornelius Wilson Iii,
68 Ware St,
West Brookfield, MA 01585-3136
Ph: (508) 867-8977 | Dr James Cornelius Wilson Iii,
46 N Main St,
West Brookfield, MA 01585-3232
Ph: (508) 867-8977 |
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