Dr Larry T Wilson, MD is a medicare enrolled "Family Medicine" physician in Andrews, South Carolina. His current practice location is
701 S Morgan Ave, Andrews, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 264-5253.
Dr Larry T Wilson is licensed to practice in South Carolina (license number TL32077) 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 1134121221.
Physician's Profile
| Full Name | Dr Larry T Wilson |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 701 S Morgan Ave, Andrews, South Carolina |
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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 Larry T Wilson attended and graduated from in
NPI Data:
- NPI Number: 1134121221
- Provider Enumeration Date: 06/02/2005
- Last Update Date: 08/28/2009
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Larry T Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134121221 | NPI | - | NPPES |
| 5642205 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | MD35689 (Tennessee) | Secondary |
| 207Q00000X | Family Medicine | 0101231693 (Virginia) | Secondary |
| 207Q00000X | Family Medicine | TL32077 (South Carolina) | 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 Larry T 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 Larry T Wilson, MD
1075 N Fraser St,
Georgetown, SC 29440
Ph: (843) 527-4442 | Dr Larry T Wilson, MD
701 S Morgan Ave,
Andrews, SC 29510
Ph: (843) 264-5253 |
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