Robert J Wilmoth, MD is a medicare enrolled "Surgery" physician in Tazewell, Tennessee. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Preferred Surgical Associates, Preferred Surgical Associates and his current practice location is
1610 Tazewell Rd, Suite 301, Tazewell, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 626-4288.
Robert J Wilmoth is licensed to practice in Tennessee (license number 40079) 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 1073505962.
Physician's Profile
| Full Name | Robert J Wilmoth |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 23 Years |
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| Location | 1610 Tazewell Rd, Tazewell, Tennessee |
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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. |
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Medical Education and Training:
- Robert J Wilmoth attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2001
NPI Data:
- NPI Number: 1073505962
- Provider Enumeration Date: 08/17/2005
- Last Update Date: 04/15/2010
Medicare PECOS Information:
- PECOS PAC ID: 9931118569
- Enrollment ID: I20060411000045
Medical Identifiers
Medical identifiers for Robert J Wilmoth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073505962 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 40079 (Tennessee) | Primary |
| 208600000X | Surgery | 39687 (Kentucky) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Preferred Surgical Associates | 7517121460 | 2 |
| Preferred Surgical Associates | 7517121460 | 2 |
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. Robert J Wilmoth allows following entities to bill medicare on his behalf.
| Entity Name | Preferred Surgical Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790043453
PECOS PAC ID: 7517121460
Enrollment ID: O20120606000182 |
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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. Robert J Wilmoth 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 |
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Robert J Wilmoth, MD
Po Box 1349,
New Tazewell, TN 37825-1349
Ph: (423) 626-4288 | Robert J Wilmoth, MD
1610 Tazewell Rd, Suite 301,
Tazewell, TN 37879
Ph: (423) 626-4288 |
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