Dr Timothy M Wilson Jr, MD in Lugoff, SC - Medicare Family Medicine

Dr Timothy M Wilson Jr, MD is a medicare enrolled "Family Medicine" physician in Lugoff, South Carolina. His current practice location is 710 Dewitt Dr, Lugoff, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 438-1806.

Dr Timothy M Wilson Jr is licensed to practice in South Carolina (license number 86187) 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 1548843873.

Contact Information

	Dr Timothy M Wilson Jr, MD
	710 Dewitt Dr, Lugoff, SC 29078-9069
	(803) 438-1806
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Timothy M Wilson Jr
Gender	Male
Speciality	Family Medicine
Location	710 Dewitt Dr, Lugoff, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548843873
Provider Enumeration Date: 05/04/2021
Last Update Date: 10/03/2024

Medicare PECOS Information:

PECOS PAC ID: 8628433075
Enrollment ID: I20230508002228

Medical Identifiers

Medical identifiers for Dr Timothy M Wilson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548843873	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	86187 (South Carolina)	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 Timothy M Wilson Jr allows following entities to bill medicare on his behalf.

Entity Name	Self Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982836847 PECOS PAC ID: 6002953916 Enrollment ID: O20091027000071

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 Timothy M Wilson Jr 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
Dr Timothy M Wilson Jr, MD Po Box 23321, New York, NY 10087 Ph: () -	Dr Timothy M Wilson Jr, MD 710 Dewitt Dr, Lugoff, SC 29078-9069 Ph: (803) 438-1806

Reviews and Comments

Family Medicine Doctors in Lugoff, SC

James C Kearse Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Dewitt Dr, Lugoff, SC 29078 Phone: 803-438-7566 Fax: 803-438-4371
Dr. Joel Richard Oliver, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1060 Highway 1 S, Lugoff, SC 29078 Phone: 803-438-9759 Fax: 803-438-9783
Min Kang, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Dewitt Dr, Lugoff, SC 29078 Phone: 803-438-1806 Fax: 803-438-4371
Patrice L High, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 40 Baldwin Ave, Lugoff, SC 29078 Phone: 803-408-3262 Fax: 803-408-8895

Dr Timothy M Wilson Jr, MD - Medicare Family Medicine in Lugoff, SC