Dr Tara D Wilson, MD in Daytona Beach, FL

Dr Tara D Wilson, MD is a medicare enrolled "Family Medicine" physician in Daytona Beach, Florida. Her current practice location is 303 N Clyde Morris Blvd, Daytona Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 254-2285.

Dr Tara D Wilson is licensed to practice in Florida (license number ME81444) 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 1194899740.

Contact Information

	Dr Tara D Wilson, MD
	303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709
	(386) 254-2285
	(386) 425-1304

Map and Direction

Physician's Profile

Full Name	Dr Tara D Wilson
Gender	Female
Speciality	Family Medicine
Location	303 N Clyde Morris Blvd, Daytona Beach, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194899740
Provider Enumeration Date: 11/17/2006
Last Update Date: 06/13/2016

Medicare PECOS Information:

PECOS PAC ID: 4284688490
Enrollment ID: I20050310000535

Medical Identifiers

Medical identifiers for Dr Tara D Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194899740	NPI	-	NPPES
ME81444	Other	FL	STATE MEDICAL LICENSE
264005800	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ME81444 (Florida)	Primary
207P00000X	Emergency Medicine	ME081444 (Florida)	Secondary

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 Tara D Wilson allows following entities to bill medicare on her behalf.

Entity Name	Halifax Healthcare Systems Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245283530 PECOS PAC ID: 1254238090 Enrollment ID: O20031218000443

Entity Name	Emergency Medicine Professionals Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205880853 PECOS PAC ID: 0446244362 Enrollment ID: O20040413001435

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 Tara D 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 Tara D Wilson, MD 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 Ph: (386) 254-2285	Dr Tara D Wilson, MD 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 Ph: (386) 254-2285

Reviews and Comments

Family Medicine Doctors in Daytona Beach, FL

Lindsay Marie Podhajsky, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 201 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-254-4165
Ejaz Ahmed, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-506-8555 Fax: 386-944-9944
Dr. Margaret Crossman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 201 North Clyde Morris Blvd., Suite 200, Halifax Family Health Center, Daytona Beach, FL 32114 Phone: 386-947-4665 Fax: 386-258-4891
Mr. Luther St. James Iii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1890 Lpga Blvd, 170, Daytona Beach, FL 32117 Phone: 386-274-3354 Fax: 386-274-5564
Dr. Joshua Robert Eisenhut, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 Memorial Medical Pkwy Ste 502, Daytona Beach, FL 32117 Phone: 386-231-3570 Fax: 386-231-3571
Kenneth J Lucas, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 405 N Clyde Morris Blvd, 405 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-257-1626 Fax: 386-254-7507
Dr. Jose Omar Burgos, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 N Clyde Morris Blvd Ste 200, Daytona Beach, FL 32114 Phone: 386-425-4165 Fax: 386-425-7545

Dr Tara D Wilson, MD - Medicare Family Medicine in Daytona Beach, FL