Keith D Wilson Jr, MD is a medicare enrolled "General Practice" physician in Reisterstown, Maryland. His current practice location is
11722 Reisterstown Rd, Reisterstown, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 833-5000.
Keith D Wilson Jr is licensed to practice in Maryland (license number D71538) 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 1720248198.
Physician's Profile
Full Name | Keith D Wilson Jr |
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Gender | Male |
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Speciality | General Practice |
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Location | 11722 Reisterstown Rd, Reisterstown, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720248198
- Provider Enumeration Date: 06/10/2008
- Last Update Date: 05/31/2011
Medicare PECOS Information:
- PECOS PAC ID: 6901080381
- Enrollment ID: I20110408000373
Medical Identifiers
Medical identifiers for Keith D Wilson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720248198 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | D71538 (Maryland) | 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. Keith D Wilson Jr allows following entities to bill medicare on his behalf.
Entity Name | Skilled Facility Health Care Solutions Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104018423 PECOS PAC ID: 9032299144 Enrollment ID: O20180129000415 |
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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. Keith D Wilson Jr 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 |
Keith D Wilson Jr, MD Po Box 1708, Greenbelt, MD 20768-1708 Ph: () - | Keith D Wilson Jr, MD 11722 Reisterstown Rd, Reisterstown, MD 21136-3302 Ph: (410) 833-5000 |
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