Dr Wiley Wilson, DO in Cordele, GA

Dr Wiley Wilson, DO is a medicare enrolled "Pediatrics" physician in Cordele, Georgia. His current practice location is 176 Lakeview Cir, Cordele, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 322-0570.

Dr Wiley Wilson is licensed to practice in Georgia (license number 036633) 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 1083686430.

Contact Information

	Dr Wiley Wilson, DO
	176 Lakeview Cir, Cordele, GA 31015-5318
	(229) 322-0570
	(229) 271-7504

Map and Direction

Physician's Profile

Full Name	Dr Wiley Wilson
Gender	Male
Speciality	Pediatrics
Location	176 Lakeview Cir, Cordele, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083686430
Provider Enumeration Date: 02/01/2006
Last Update Date: 09/04/2009

Medicare PECOS Information:

PECOS PAC ID: 7810046257
Enrollment ID: I20090514000312

Medical Identifiers

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

Identifier	Type	State	Issuer
1083686430	NPI	-	NPPES
795339666A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	036633 (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 Wiley Wilson allows following entities to bill medicare on his behalf.

Entity Name	Ess Hospitalist Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881967305 PECOS PAC ID: 6103085295 Enrollment ID: O20120315000609

Entity Name	Lifebrite Hospital Group Of Early Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912430224 PECOS PAC ID: 7810263589 Enrollment ID: O20171024003011

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 Wiley 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 Wiley Wilson, DO 176 Lakeview Cir, Cordele, GA 31015-5318 Ph: (229) 322-0570	Dr Wiley Wilson, DO 176 Lakeview Cir, Cordele, GA 31015-5318 Ph: (229) 322-0570

Reviews and Comments

Pediatrics Doctors in Cordele, GA

Dr. Anne Jennifer Lombardi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1007 E 16th Ave Ste A, Cordele, GA 31015 Phone: 229-273-1716 Fax: 229-273-1720
Kristin S Rischar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 408 E 3rd Ave, Cordele, GA 31015 Phone: 229-271-2229 Fax: 229-276-3633
Dr. Fawzi M Himada, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 811 N. 4th St., Cordele, GA 31015 Phone: 229-273-5575 Fax: 229-273-5075
Claudia Conde, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 902 N 7th St, Cordele, GA 31015 Phone: 229-276-3011 Fax: 229-276-3108
Mohamed H Elgendy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 408 E 3rd Ave, Cordele, GA 31015 Phone: 229-271-2229
Amelia R Stevens, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 408 E 3rd Ave, Cordele, GA 31015 Phone: 229-271-2229 Fax: 229-276-3633

Dr Wiley Wilson, DO - Medicare Pediatrics in Cordele, GA