Samuel G Wilson, MD is a medicare enrolled "Emergency Medicine" physician in Hesperia, California. His current practice location is
12021 Jacaranda Ave, 101, Hesperia, California. You can reach out to his office (for appointments etc.) via phone at
(760) 956-5057.
Samuel G Wilson is licensed to practice in California (license number G55580) 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 1912948019.
Physician's Profile
| Full Name | Samuel G Wilson |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 12021 Jacaranda Ave, Hesperia, California |
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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:
- Samuel G Wilson attended and graduated from in
NPI Data:
- NPI Number: 1912948019
- Provider Enumeration Date: 06/09/2006
- Last Update Date: 03/03/2011
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Samuel G Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912948019 | NPI | - | NPPES |
| 00G555800 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | G55580 (California) | Primary |
| 208D00000X | General Practice | G55580 (California) | Secondary |
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. Samuel G 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 |
|---|
Samuel G Wilson, MD
12021 Jacaranda Ave,
Hesperia, CA 92345-4978
Ph: (760) 956-5057 | Samuel G Wilson, MD
12021 Jacaranda Ave, 101,
Hesperia, CA 92345-4956
Ph: (760) 956-5057 |
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