Dr Paul G Wilson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Seaside, California. His current practice location is
1550 Canyon Del Rey Blvd # 1047, Seaside, California. You can reach out to his office (for appointments etc.) via phone at
(505) 563-0983.
Dr Paul G Wilson is licensed to practice in California (license number 35323) 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 1396715058.
Healthcare Provider's Profile
Full Name | Dr Paul G Wilson |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 1550 Canyon Del Rey Blvd # 1047, Seaside, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396715058
- Provider Enumeration Date: 01/25/2006
- Last Update Date: 09/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 7719145531
- Enrollment ID: I20120225000103
Medical Identifiers
Medical identifiers for Dr Paul G Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396715058 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 35323 (California) | 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 Paul G Wilson allows following entities to bill medicare on his behalf.
Entity Name | Presbyterian Healthcare Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
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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 Paul G 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 Address | Practice Location Address |
Dr Paul G Wilson, PHD 1550 Canyon Del Rey Blvd # 1047, Seaside, CA 93955-3501 Ph: (505) 563-0983 | Dr Paul G Wilson, PHD 1550 Canyon Del Rey Blvd # 1047, Seaside, CA 93955-3501 Ph: (505) 563-0983 |
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