Dr William Tad Wilson, MD is a medicare enrolled "Urology" physician in Independece, Missouri. He graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Urology. He is a member of the group practice Advanced Urologic Associates Inc and his current practice location is
19001 E 48th St S, Independece, Missouri. You can reach out to his office (for appointments etc.) via phone at
(816) 251-5100.
Dr William Tad Wilson is licensed to practice in Missouri (license number R9N34) 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 1932158300.
Physician's Profile
| Full Name | Dr William Tad Wilson |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 39 Years |
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| Location | 19001 E 48th St S, Independece, Missouri |
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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 William Tad Wilson graduated from medical school in 1985
NPI Data:
- NPI Number: 1932158300
- Provider Enumeration Date: 05/10/2006
- Last Update Date: 03/16/2015
Medicare PECOS Information:
- PECOS PAC ID: 4284692971
- Enrollment ID: I20100514000091
Medical Identifiers
Medical identifiers for Dr William Tad Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932158300 | NPI | - | NPPES |
| 207456708 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | R9N34 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Advanced Urologic Associates Inc | 7618133778 | 13 |
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 William Tad Wilson allows following entities to bill medicare on his behalf.
| Entity Name | Advanced Urologic Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801389267
PECOS PAC ID: 7618133778
Enrollment ID: O20120718000595 |
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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 William Tad 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 |
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Dr William Tad Wilson, MD
19001 E 48th St S,
Independece, MO 64055
Ph: (816) 251-5112 | Dr William Tad Wilson, MD
19001 E 48th St S,
Independece, MO 64055
Ph: (816) 251-5100 |
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