Dr Winston E Dill, JDPHDPSYDDNP is a medicare enrolled "Psychologist - Clinical" in Saint Marys, Georgia. His current practice location is
605 Osborne St, Saint Marys, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 398-7311.
Dr Winston E Dill is licensed to practice in Georgia (license number PSY003277) 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 1134180243.
Provider's Profile
| Full Name | Dr Winston E Dill |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 605 Osborne St, Saint Marys, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1134180243
- Provider Enumeration Date: 03/29/2006
- Last Update Date: 03/13/2012
Medicare PECOS Information:
- PECOS PAC ID: 6608768544
- Enrollment ID: I20120424000708
Medical Identifiers
Medical identifiers for Dr Winston E Dill such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134180243 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APN 2602 (South Carolina) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 9206716 (Florida) | Secondary |
| 103T00000X | Psychologist | PY 6203 (Florida) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071-005311 (Illinois) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APN 0000011387 (Tennessee) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY003277 (Georgia) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 196911NP (Georgia) | Secondary |
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 Winston E Dill allows following entities to bill medicare on his behalf.
| Entity Name | Department Of Behavioral Health And Developmental Disabilities |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902030307
PECOS PAC ID: 7416002506
Enrollment ID: O20090825000435 |
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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 Winston E Dill 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 Winston E Dill, JDPHDPSYDDNP
7400 Abercorn St, Suite 705-322,
Savannah, GA 31406-2447
Ph: (912) 398-7311 | Dr Winston E Dill, JDPHDPSYDDNP
605 Osborne St,
Saint Marys, GA 31558-8410
Ph: (912) 398-7311 |
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