Mark Douglas Wilson, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Minden, Louisiana. He went to Indiana University School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Minden Physician Practices Llc and his current practice location is
216 W Union St, Ste. A, Minden, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(318) 299-6334.
Mark Douglas Wilson is licensed to practice in Louisiana (license number MD.204547) 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 1235399163.
Physician's Profile
Full Name | Mark Douglas Wilson |
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Gender | Male |
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Speciality | Orthopedic Surgery |
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Experience | 16 Years |
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Location | 216 W Union St, Minden, Louisiana |
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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. |
Medical Education and Training:
- Mark Douglas Wilson attended and graduated from Indiana University School Of Medicine in 2008
NPI Data:
- NPI Number: 1235399163
- Provider Enumeration Date: 06/13/2008
- Last Update Date: 07/29/2015
Medicare PECOS Information:
- PECOS PAC ID: 6002120961
- Enrollment ID: I20150805008425
Medical Identifiers
Medical identifiers for Mark Douglas Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235399163 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207XX0005X | Orthopaedic Surgery - Sports Medicine | MD.204547 (Louisiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Minden Physician Practices Llc | 4789720004 | 33 |
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. Mark Douglas Wilson allows following entities to bill medicare on his behalf.
Entity Name | Minden Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497986764 PECOS PAC ID: 4789720004 Enrollment ID: O20090930000103 |
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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. Mark Douglas 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 |
Mark Douglas Wilson, MD 186 Colonel A.p. Kouns Dr., Shreveport, LA 71115 Ph: (574) 329-1445 | Mark Douglas Wilson, MD 216 W Union St, Ste. A, Minden, LA 71055-3216 Ph: (318) 299-6334 |
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