Mrs Joli Ann Wilson, DO in Austell, GA

Mrs Joli Ann Wilson, DO is a medicare enrolled "Pediatrics" physician in Austell, Georgia. Her current practice location is 3950 Austell Rd, Austell, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 732-4000.

Mrs Joli Ann Wilson is licensed to practice in Georgia (license number 72821) 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 1003176082.

Contact Information

	Mrs Joli Ann Wilson, DO
	3950 Austell Rd, Austell, GA 30106-1121
	(770) 732-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Mrs Joli Ann Wilson
Gender	Female
Speciality	Pediatrics
Location	3950 Austell Rd, Austell, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003176082
Provider Enumeration Date: 05/23/2012
Last Update Date: 10/29/2024

Medicare PECOS Information:

PECOS PAC ID: 8527224195
Enrollment ID: I20161219002241

Medical Identifiers

Medical identifiers for Mrs Joli Ann Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003176082	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	72821 (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. Mrs Joli Ann Wilson allows following entities to bill medicare on her behalf.

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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. Mrs Joli Ann 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
Mrs Joli Ann Wilson, DO 1805 Parke Plaza Cir, Ste 103, Stone Mountain, GA 30087 Ph: (770) 498-9355	Mrs Joli Ann Wilson, DO 3950 Austell Rd, Austell, GA 30106-1121 Ph: (770) 732-4000

Reviews and Comments

Pediatrics Doctors in Austell, GA

Kelly Solms Garrison, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3950 Austell Rd # 22, Austell, GA 30106 Phone: 770-732-4022 Fax: 770-732-4023
Mrs. Faye E. Spector Maloney, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1664 Mulkey Rd, Austell, GA 30106 Phone: 770-941-7709 Fax: 770-941-6441
Dr. Shelly-ann Michela Salandy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1680 Mulkey Rd, Suite E, Austell, GA 30106 Phone: 770-941-5107 Fax: 770-944-1013
Dr. Patricia Anne Wolfe, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1810 Mulkey Rd, Suite 201, Austell, GA 30106 Phone: 770-819-9262 Fax: 678-945-1295
Dr. Annisha Ellis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1810 Mulkey Rd, Suite 201, Austell, GA 30106 Phone: 770-819-9262 Fax: 678-945-1295
Dr. Jennifer N Vernon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1810 Mulkey Rd, Suite 201, Austell, GA 30106 Phone: 404-316-6269

Mrs Joli Ann Wilson, DO - Medicare Pediatrics in Austell, GA