Dr Richard E Wood Jr, MD is a medicare enrolled "Family Medicine" physician in Fortson, Georgia. His current practice location is
94 Mccrary Rd, Fortson, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 987-8216.
Dr Richard E Wood Jr is licensed to practice in Georgia (license number 19809) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477576635.
Physician's Profile
| Full Name | Dr Richard E Wood Jr |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 94 Mccrary Rd, Fortson, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1477576635
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 08/28/2009
Medicare PECOS Information:
- PECOS PAC ID: 5496822009
- Enrollment ID: I20080924000208
Medical Identifiers
Medical identifiers for Dr Richard E Wood Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477576635 | NPI | - | NPPES |
| 000176293H | Medicaid | GA | |
| 000176393C | Medicaid | GA | |
| 000176393F | Medicaid | GA | |
| 000176393G | Medicaid | GA | |
| 000176393E | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 19809 (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 Richard E Wood Jr allows following entities to bill medicare on his behalf.
| Entity Name | American Current Care Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710168117
PECOS PAC ID: 9739260019
Enrollment ID: O20080220000473 |
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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 Richard E Wood Jr 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 Richard E Wood Jr, MD
1315 Delauney Ave, Suite 201,
Columbus, GA 31901-2367
Ph: (706) 987-8216 | Dr Richard E Wood Jr, MD
94 Mccrary Rd,
Fortson, GA 31808-4558
Ph: (706) 987-8216 |
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