Dr Thaddeus David Wilson, MD - Medicare Emergency Medicine in San Antonio, TX

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Dr Thaddeus David Wilson, MD is a medicare enrolled "Emergency Medicine" physician in San Antonio, Texas. His current practice location is 4204 Gardendale St, Suite 312, San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 293-6003.

Dr Thaddeus David Wilson is licensed to practice in Tennessee (license number 58235) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417190869.

Contact Information

Dr Thaddeus David Wilson, MD
4204 Gardendale St, Suite 312,
San Antonio, TX 78229-3132
(210) 293-6003
Not Available

Map and Direction




Physician's Profile

Full NameDr Thaddeus David Wilson
GenderMale
SpecialityEmergency Medicine
Location4204 Gardendale St, San Antonio, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417190869
  • Provider Enumeration Date: 04/15/2009
  • Last Update Date: 02/21/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5395963805
  • Enrollment ID: I20190129003365

Medical Identifiers

Medical identifiers for Dr Thaddeus David Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417190869NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PP0204XEmergency Medicine - Pediatric Emergency Medicine Q4343 (Texas)Secondary
207P00000XEmergency Medicine 58235 (Tennessee)Primary

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. Dr Thaddeus David Wilson allows following entities to bill medicare on his behalf.
Entity NameTri-cities Regional Emergency Physicians, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063950046
PECOS PAC ID: 3678859477
Enrollment ID: O20170410002399

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. Dr Thaddeus David 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 AddressPractice Location Address
Dr Thaddeus David Wilson, MD
4204 Gardendale St, Suite 312,
San Antonio, TX 78229-3132

Ph: (210) 293-6003		Dr Thaddeus David Wilson, MD
4204 Gardendale St, Suite 312,
San Antonio, TX 78229-3132

Ph: (210) 293-6003

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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