Tara L Wilson, MD in Riverside, CA - Medicare General Surgery

Tara L Wilson, MD is a medicare enrolled "Surgery" physician in Riverside, California. She went to Michigan State University College Of Human Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 3660 Park Sierra Dr, Suite 105, Riverside, California. You can reach out to her office (for appointments etc.) via phone at (951) 278-8870.

Tara L Wilson is licensed to practice in California (license number A80520) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720174345.

Contact Information

	Tara L Wilson, MD
	3660 Park Sierra Dr, Suite 105, Riverside, CA 92505-3071
	(951) 278-8870
	(951) 278-8913

Map and Direction

Physician's Profile

Full Name	Tara L Wilson
Gender	Female
Speciality	General Surgery
Experience	25 Years
Location	3660 Park Sierra Dr, Riverside, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tara L Wilson attended and graduated from Michigan State University College Of Human Medicine in 1999

NPI Data:

NPI Number: 1720174345
Provider Enumeration Date: 10/04/2006
Last Update Date: 12/22/2021

Medicare PECOS Information:

PECOS PAC ID: 7618070970
Enrollment ID: I20070307000520

Medical Identifiers

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

Identifier	Type	State	Issuer
1720174345	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	A80520 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	8172

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. Tara L Wilson allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Tara L 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
Tara L Wilson, MD P.o. Box 2828, Corona, CA 92878-2828 Ph: (951) 278-8870	Tara L Wilson, MD 3660 Park Sierra Dr, Suite 105, Riverside, CA 92505-3071 Ph: (951) 278-8870

Reviews and Comments

Surgery Doctors in Riverside, CA

Robert L. Rudek, MD Surgery Medicare: Medicare Enrolled Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000
Dr. Naseem Ahmed Attar, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4646 Brockton Ave Suite 302, Riverside, CA 92506 Phone: 951-686-4677
Nicole Baril, MD Surgery Medicare: Medicare Enrolled Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000
Betty W.s. Hou, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7111 Indiana Ave, Suite 100, Riverside, CA 92504 Phone: 951-276-9012 Fax: 951-276-9163
Hongphuc Phu Ha, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 7117 Brockton Ave, Riverside, CA 92506 Phone: 951-321-6310 Fax: 951-784-3260
Ms. Geena Wu, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 833-574-2273
Vincent Reginald Favor Narvaez, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 7300 Magnolia Ave, Riverside, CA 92504 Phone: 888-754-0626

Tara L Wilson, MD - Medicare General Surgery in Riverside, CA