Wilton Russell Holman Iii, MD - Medicare Diagnostic Radiology in Birmingham, AL

Wilton Russell Holman Iii, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Birmingham, Alabama. He went to University Of Alabama School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Cahaba Valley Imaging, Llc, North Jefferson Imaging, Llc, Shades Mountain Imaging Pc, Birmingham Radiological Group Pc and his current practice location is 701 Princeton Ave Sw, Birmingham, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 783-3000.

Wilton Russell Holman Iii is licensed to practice in Alabama (license number 20544) 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 1750386942.

Contact Information

Wilton Russell Holman Iii, MD
701 Princeton Ave Sw,
Birmingham, AL 35211-1303
(205) 783-3000
Not Available

Map and Direction




Physician's Profile

Full NameWilton Russell Holman Iii
GenderMale
SpecialityDiagnostic Radiology
Experience29 Years
Location701 Princeton Ave Sw, Birmingham, Alabama
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Wilton Russell Holman Iii attended and graduated from University Of Alabama School Of Medicine in 1995
  NPI Data:
  • NPI Number: 1750386942
  • Provider Enumeration Date: 06/15/2005
  • Last Update Date: 12/30/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4981650298
  • Enrollment ID: I20050329001073

Medical Identifiers

Medical identifiers for Wilton Russell Holman Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750386942NPI-NPPES
122606MedicaidAL
515-39411OtherALBLUE CROSS
300113603OtherALRRMC
515-94523OtherALBLUE CROSS
511-56374OtherALBLUE CROSS
7575354OtherALAETNA
511-09727OtherALBLUE CROSS
000055398MedicaidAL
105489MedicaidAL
169815MedicaidAL
510-55398OtherALBLUE CROSS
009941749MedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 20544 (Alabama)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Princeton Baptist Medical CenterBirmingham, ALHospital
Walker Baptist Medical CenterJasper, ALHospital
Citizens Baptist Medical CenterTalladega, ALHospital
Northwest Medical CenterWinfield, ALHospital
Cullman Regional Medical CenterCullman, ALHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cahaba Valley Imaging, Llc05473055425
North Jefferson Imaging, Llc32745558597
Shades Mountain Imaging Pc54967249575
Birmingham Radiological Group Pc802292275639

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. Wilton Russell Holman Iii allows following entities to bill medicare on his behalf.
Entity NameBirmingham Radiological Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376594192
PECOS PAC ID: 8022922756
Enrollment ID: O20031118000002
Entity NameShades Mountain Imaging Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033157185
PECOS PAC ID: 5496724957
Enrollment ID: O20040930000869
Entity NameNorth Jefferson Imaging, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467490920
PECOS PAC ID: 3274555859
Enrollment ID: O20051222000710
Entity NameCahaba Valley Imaging, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215268446
PECOS PAC ID: 0547305542
Enrollment ID: O20100302000451

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. Wilton Russell Holman Iii 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
Wilton Russell Holman Iii, MD
2000a Southbridge Pkwy, Ste 300,
Birmingham, AL 35209-7718

Ph: (205) 871-4274
Wilton Russell Holman Iii, MD
701 Princeton Ave Sw,
Birmingham, AL 35211-1303

Ph: (205) 783-3000

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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