Lucas Hillman Wilson, in Jackson, MS

Lucas Hillman Wilson, is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Jackson, Mississippi. His current practice location is 2500 N State St, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 815-2005.

Lucas Hillman Wilson is licensed to practice in Mississippi (license number 29776) 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 1346627544.

Contact Information

	Lucas Hillman Wilson,
	2500 N State St, Jackson, MS 39216-4500
	(601) 815-2005
	Not Available

Map and Direction

Physician's Profile

Full Name	Lucas Hillman Wilson
Gender	Male
Speciality	Pediatrics - Pediatric Cardiology
Location	2500 N State St, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346627544
Provider Enumeration Date: 04/27/2015
Last Update Date: 08/25/2022

Medicare PECOS Information:

PECOS PAC ID: 7315254729
Enrollment ID: I20200210000788

Medical Identifiers

Medical identifiers for Lucas Hillman Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346627544	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	52251 (South Carolina)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2080P0202X	Pediatrics - Pediatric Cardiology	29776 (Mississippi)	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. Lucas Hillman Wilson allows following entities to bill medicare on his behalf.

Entity Name	University Medical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291

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. Lucas Hillman 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
Lucas Hillman Wilson, 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 815-2005	Lucas Hillman Wilson, 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 815-2005

Reviews and Comments

Pediatrics Doctors in Jackson, MS

Lauren K Tucker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5260 Fax: 601-984-2652
Kavipriya Komeswaran, Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-2005 Fax: 601-815-0434
Emily S Weber, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-4520 Fax: 601-984-5982
Mr. Marcelo Eduardo Rains, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 North State Street, Ummc Neonatology, Jackson, MS 39216 Phone: 601-984-1000
Logan Sears Havard, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000
Dr. Eva Mae Henderson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 350 W Woodrow Wilson Ave, Jackson, MS 39213 Phone: 601-709-5150 Fax: 601-709-5151
Sitesh Ranen Roy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5249

Lucas Hillman Wilson, - Medicare Pediatrics in Jackson, MS