Dr Lynette Rochelle Wilson-phillips, MD in Clarkston, GA

Dr Lynette Rochelle Wilson-phillips, MD is a medicare enrolled "Pediatrics" physician in Clarkston, Georgia. Her current practice location is 4112 E Ponce De Leon Ave, Clarkston, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 296-7133.

Dr Lynette Rochelle Wilson-phillips is licensed to practice in Georgia (license number 038132) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1992769269.

Contact Information

	Dr Lynette Rochelle Wilson-phillips, MD
	4112 E Ponce De Leon Ave, Clarkston, GA 30021-1817
	(404) 296-7133
	(404) 501-9744

Map and Direction

Physician's Profile

Full Name	Dr Lynette Rochelle Wilson-phillips
Gender	Female
Speciality	Pediatrics
Location	4112 E Ponce De Leon Ave, Clarkston, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992769269
Provider Enumeration Date: 04/13/2006
Last Update Date: 09/19/2011

Medicare PECOS Information:

PECOS PAC ID: 0042666182
Enrollment ID: I20231026001573

Medical Identifiers

Medical identifiers for Dr Lynette Rochelle Wilson-phillips such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992769269	NPI	-	NPPES
000681106C	Medicaid	GA
000681106B	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	038132 (Georgia)	Primary

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 Lynette Rochelle Wilson-phillips allows following entities to bill medicare on her behalf.

Entity Name	Medcura Health, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417011487 PECOS PAC ID: 2961443643 Enrollment ID: O20120509000245

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 Lynette Rochelle Wilson-phillips 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 Lynette Rochelle Wilson-phillips, MD 5268 Sandy Shores Ct, Lithonia, GA 30038-3957 Ph: (404) 405-6863	Dr Lynette Rochelle Wilson-phillips, MD 4112 E Ponce De Leon Ave, Clarkston, GA 30021-1817 Ph: (404) 296-7133

Reviews and Comments

Pediatrics Doctors in Clarkston, GA

Kimberly M Humphrey-browne, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4112 E Ponce De Leon Ave, Clarkston, GA 30021 Phone: 404-296-7133 Fax: 404-501-9744
Dr. Stephanie M Henry, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4112 E Ponce De Leon Ave, Clarkston, GA 30021 Phone: 404-296-7133 Fax: 404-296-7211
Dr. Patrice Gibson Chishom, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4112 E Ponce De Leon Ave, Clarkston, GA 30021 Phone: 404-289-7133 Fax: 404-289-7211
Sean R Lindsey, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4122 E Ponce De Leon Ave Ste 5, Clarkston, GA 30021 Phone: 470-799-0044 Fax: 470-799-0045
Dr. Ojoru Osunkoya, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4112 E. Ponce De Leon, Clarkston, GA 30021 Phone: 404-296-7133
Tracy Ferguson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4112 E Ponce De Leon Ave, Clarkston, GA 30021 Phone: 404-296-7133 Fax: 404-296-7211
Keanna L Joseph-clarke, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4112 E Ponce De Leon Ave, Clarkston, GA 30021 Phone: 404-296-7133 Fax: 404-296-7211

Dr Lynette Rochelle Wilson-phillips, MD - Medicare Pediatrics in Clarkston, GA