Russell Andrew Wilson, MD in Fayetteville, GA

Russell Andrew Wilson, MD is a medicare enrolled "Surgery" physician in Fayetteville, Georgia. He went to University Of Texas Southwestern Medical School At Dallas and graduated in 1991 and has 33 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Piedmont Providers Llc and his current practice location is 1265 Highway 54 W Ste 500b, Fayetteville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 719-5660.

Russell Andrew Wilson is licensed to practice in Georgia (license number 040590) 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 1427057736.

Contact Information

	Russell Andrew Wilson, MD
	1265 Highway 54 W Ste 500b, Fayetteville, GA 30214-4556
	(770) 719-5660
	(678) 336-5955

Map and Direction

Physician's Profile

Full Name	Russell Andrew Wilson
Gender	Male
Speciality	General Surgery
Experience	33 Years
Location	1265 Highway 54 W Ste 500b, Fayetteville, Georgia
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:

Russell Andrew Wilson attended and graduated from University Of Texas Southwestern Medical School At Dallas in 1991

NPI Data:

NPI Number: 1427057736
Provider Enumeration Date: 07/19/2005
Last Update Date: 07/21/2020

Medicare PECOS Information:

PECOS PAC ID: 5092778688
Enrollment ID: I20041104000918

Medical Identifiers

Medical identifiers for Russell Andrew Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427057736	NPI	-	NPPES
P00081030	Other	GA	RAILROAD MEDICARE
00711389C	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	040590 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Piedmont Fayette Hospital	Fayetteville, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Piedmont Providers Llc	9830082825	367

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. Russell Andrew Wilson allows following entities to bill medicare on his behalf.

Entity Name	Piedmont Providers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321

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. Russell Andrew 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
Russell Andrew Wilson, MD 1265 Highway 54 W, Suite 500b, Fayetteville, GA 30214-4548 Ph: (770) 719-5660	Russell Andrew Wilson, MD 1265 Highway 54 W Ste 500b, Fayetteville, GA 30214-4556 Ph: (770) 719-5660

Reviews and Comments

Surgery Doctors in Fayetteville, GA

Dr. Janine Nicole Pettiford, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 325 North Jeff Davis Dr, Fayetteville, GA 30214 Phone: 770-461-1337 Fax: 770-461-0922
Walker Shearon, MD Surgery Medicare: Medicare Enrolled Practice Location: 1265 Highway 54 W Ste 500b, Fayetteville, GA 30214 Phone: 404-265-4411
Dr. James Mattingly Stevens, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1265 Highway 54 W, Suite 500b, Fayetteville, GA 30214 Phone: 770-719-5660 Fax: 678-817-4339
Meghan Morgan, CST Surgery Medicare: Not Enrolled in Medicare Practice Location: 101 Yorktown Dr., Suite 110, Fayetteville, GA 30214 Phone: 770-461-2101
Lloyd Thomas Winger Iv, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1265 Highway 54 W, Suite 500b, Fayetteville, GA 30214 Phone: 770-719-5660 Fax: 678-817-4339
Dr. Nicole L Sroka, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1279 Highway 54 W, Suite 210, Fayetteville, GA 30214 Phone: 770-719-5710 Fax: 678-817-4360

Russell Andrew Wilson, MD - Medicare General Surgery in Fayetteville, GA