Mark Vincent Wilson, MD in Johnson City, NY - Medicare Orthopedic Surgery

Mark Vincent Wilson, MD is a medicare enrolled "Orthopaedic Surgery" physician in Johnson City, New York. He went to State University Of Ny Upstate Medical University and graduated in 1999 and has 25 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Our Lady Of Lourdes Memorial Hospital Inc and his current practice location is 240 Riverside Dr, Johnson City, New York. You can reach out to his office (for appointments etc.) via phone at (607) 798-9356.

Mark Vincent Wilson is licensed to practice in New York (license number 220358) 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 1215951579.

Contact Information

	Mark Vincent Wilson, MD
	240 Riverside Dr, Johnson City, NY 13790-2732
	(607) 798-9356
	(607) 797-1707

Map and Direction

Physician's Profile

Full Name	Mark Vincent Wilson
Gender	Male
Speciality	Orthopedic Surgery
Experience	25 Years
Location	240 Riverside Dr, Johnson City, New York
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 Vincent Wilson attended and graduated from State University Of Ny Upstate Medical University in 1999

NPI Data:

NPI Number: 1215951579
Provider Enumeration Date: 07/27/2006
Last Update Date: 03/23/2021

Medicare PECOS Information:

PECOS PAC ID: 8820032584
Enrollment ID: I20050614000298

Medical Identifiers

Medical identifiers for Mark Vincent Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215951579	NPI	-	NPPES
02663610	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	220358 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lourdes At Home Chha	Vestal, NY	Home health agency
Lourdes Hospital	Binghamton, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Our Lady Of Lourdes Memorial Hospital Inc	1254237779	223

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 Vincent Wilson allows following entities to bill medicare on his behalf.

Entity Name	Our Lady Of Lourdes Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629087580 PECOS PAC ID: 1254237779 Enrollment ID: O20031208000366

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 Vincent 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 Vincent Wilson, MD 240 Riverside Dr, Johnson City, NY 13790-2732 Ph: (607) 798-9356	Mark Vincent Wilson, MD 240 Riverside Dr, Johnson City, NY 13790-2732 Ph: (607) 798-9356

Reviews and Comments

Orthopaedic Surgery Doctors in Johnson City, NY

Stephen G Federowicz, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 240 Riverside Dr, Johnson City, NY 13790 Phone: 607-798-9356 Fax: 607-797-1707
Kyung In Kim, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 240 Riverside Dr, Johnson City, NY 13790 Phone: 607-798-9356 Fax: 607-797-1707
Thomas R Van-gorder, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 240 Riverside Dr, Johnson City, NY 13790 Phone: 607-798-9356 Fax: 607-797-1707
Orest Myroslav Wasyliw, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 441 Riverside Drive, Johnson City, NY 13790 Phone: 607-729-2474 Fax: 607-770-9271
John Brosnan, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 240 Riverside Dr, Johnson City, NY 13790 Phone: 607-798-9356 Fax: 607-797-1707
Dr. Matthew Thomas Bennett, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 52 Harrison St, 2nd Fl, Johnson City, NY 13790 Phone: 607-748-7468 Fax: 607-754-6130

Mark Vincent Wilson, MD - Medicare Orthopedic Surgery in Johnson City, NY