Samuel Wilson, in Chattanooga, TN - Medicare Emergency Medicine

Samuel Wilson, is a medicare enrolled "Emergency Medicine" physician in Chattanooga, Tennessee. He went to University Of Alabama School Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Decatur Morgan Emergency Medicine and his current practice location is 2525 Desales Ave, Chattanooga, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 697-0014.

Samuel Wilson is licensed to practice in Tennessee (license number 63891) 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 1083110514.

Contact Information

	Samuel Wilson,
	2525 Desales Ave, Chattanooga, TN 37404-1161
	(423) 697-0014
	(423) 648-6280

Map and Direction

Physician's Profile

Full Name	Samuel Wilson
Gender	Male
Speciality	Emergency Medicine
Experience	6 Years
Location	2525 Desales Ave, Chattanooga, Tennessee
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:

Samuel Wilson attended and graduated from University Of Alabama School Of Medicine in 2018

NPI Data:

NPI Number: 1083110514
Provider Enumeration Date: 04/03/2018
Last Update Date: 08/30/2021

Medicare PECOS Information:

PECOS PAC ID: 8729403423
Enrollment ID: I20220615001117

Medical Identifiers

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

Identifier	Type	State	Issuer
1083110514	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	63891 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Decatur Morgan Hospital - Decatur Campus	Decatur, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Decatur Morgan Emergency Medicine	0446680862	23

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

Entity Name	Decatur Morgan Emergency Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316571615 PECOS PAC ID: 0446680862 Enrollment ID: O20200424001929

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 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 Wilson, 725 Glenwood Dr Ste E487, Chattanooga, TN 37404-1173 Ph: (423) 697-0014	Samuel Wilson, 2525 Desales Ave, Chattanooga, TN 37404-1161 Ph: (423) 697-0014

Reviews and Comments

Emergency Medicine Doctors in Chattanooga, TN

Joseph Kerby Gray, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 2525 De Sales Ave, Chattanooga, TN 37404 Phone: 423-495-2525
Ronald A. Gracy Ii, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 941 Spring Creek Rd, Chattanooga, TN 37412 Phone: 423-894-7870 Fax: 865-539-8008
Dr. Jocelyn May De Guzman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1755 Gunbarrel Rd, Chattanooga, TN 37421 Phone: 423-680-8534
Dr. Jeffrey Durant Clinkscales, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 975 E 3rd St, Chattanooga, TN 37403 Phone: 423-778-7628
Dr. Shelley L Murphy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1018 Blackford Street, Chattanooga, TN 37403 Phone: 423-778-7000
Dr. Devon Gaines, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 975 E 3rd St, Chattanooga, TN 37403 Phone: 423-778-7000

Samuel Wilson, - Medicare Emergency Medicine in Chattanooga, TN