Glen P Wilson, MD in Albuquerque, NM - Medicare Diagnostic Radiology

Glen P Wilson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Albuquerque, New Mexico. He went to Wayne State University School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice University Of New Mexico Medical Group and his current practice location is 4901 Lang Ave Ne, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 842-8171.

Glen P Wilson is licensed to practice in New Mexico (license number 2000-314) 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 1285638999.

Contact Information

	Glen P Wilson, MD
	4901 Lang Ave Ne, Albuquerque, NM 87109-4495
	(505) 842-8171
	(505) 857-3877

Map and Direction

Physician's Profile

Full Name	Glen P Wilson
Gender	Male
Speciality	Diagnostic Radiology
Experience	29 Years
Location	4901 Lang Ave Ne, Albuquerque, New Mexico
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Glen P Wilson attended and graduated from Wayne State University School Of Medicine in 1995

NPI Data:

NPI Number: 1285638999
Provider Enumeration Date: 06/09/2005
Last Update Date: 10/30/2024

Medicare PECOS Information:

PECOS PAC ID: 7719946227
Enrollment ID: I20041011000263

Medical Identifiers

Medical identifiers for Glen P Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285638999	NPI	-	NPPES
L0634	Medicaid	NM
600521002	Other	NM	MEDICARE IDTF
700521102	Other	NM	MEDICARE GROUP
2258272	Other	NM	MEDICARE GROUP
45138	Medicaid	NM
52713	Medicaid	NM
66463	Medicaid	NM
800521126	Other	NM	MEDICARE IDTF

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	2000-314 (New Mexico)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of New Mexico Hospital	Albuquerque, NM	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of New Mexico Medical Group	4981795267	977

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. Glen P Wilson allows following entities to bill medicare on his behalf.

Entity Name	Radiology Associates Of Albuquerque Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881666998 PECOS PAC ID: 2860304482 Enrollment ID: O20031103000381

Entity Name	Advanced Imaging Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558416974 PECOS PAC ID: 2860451648 Enrollment ID: O20070723000756

Entity Name	Unm Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589

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. Glen P 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
Glen P Wilson, MD 800 Bradbury Dr Se Ste 116, Albuquerque, NM 87106-4310 Ph: (505) 272-1476	Glen P Wilson, MD 4901 Lang Ave Ne, Albuquerque, NM 87109-4495 Ph: (505) 842-8171

Reviews and Comments

Radiology Doctors in Albuquerque, NM

Mark Ehrhart, MD Radiology Medicare: Medicare Enrolled Practice Location: Msc 10 5550, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-4661
Dr. Shaya Ansari, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8020 Constitution Pl Ne Ste 202, Albuquerque, NM 87110 Phone: 505-998-3096 Fax: 505-998-3100
Dr. Karen Renee Craig, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-0011
Stuart Bernard Paster, Radiology Medicare: Not Enrolled in Medicare Practice Location: 8020 Constitution Place Ne, #101, Albuquerque, NM 87110 Phone: 505-998-1317 Fax: 505-998-1308
Danielle Eckart Sorte, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Dept Of Radiology Msc 10 5530, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 801-641-5515
Dr. Luis Centenera, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109 Phone: 505-332-5800 Fax: 505-332-6919
Ryan Craig Lebaron, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Msc10 5530, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-6225

Glen P Wilson, MD - Medicare Diagnostic Radiology in Albuquerque, NM