Wilson Baumgartner, is a
Student In An Organized Health Care Education/training Program physician based in Moultrie, Georgia. Wilson Baumgartner is licensed to practice in Georgia (license number 4) and his current practice location is 1 Magnolia Ct, Moultrie, Georgia. He can be reached at his office (for appointments etc.) via phone at
(229) 502-9753.
NPI number for Wilson Baumgartner is 1982454062 and his current mailing address is 1 Magnolia Ct, Moultrie, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982454062.
Physician's Profile
| Full Name | Wilson Baumgartner |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1 Magnolia Ct, Moultrie, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1982454062
- Provider Enumeration Date: 03/25/2024
- Last Update Date: 03/25/2024
Medical Identifiers
Medical identifiers for Wilson Baumgartner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982454062 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4 (Georgia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 4 (Georgia) | Primary |
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. Wilson Baumgartner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Wilson Baumgartner,
1 Magnolia Ct,
Moultrie, GA 31768-6764
Ph: (229) 502-9753 | Wilson Baumgartner,
1 Magnolia Ct,
Moultrie, GA 31768-6764
Ph: (229) 502-9753 |
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