Aldous B Wilson, DDS in Sumter, SC - Medicare Dentist Provider

Aldous B Wilson, DDS is a medicare enrolled "Dentist - General Practice" provider in Sumter, South Carolina. His current practice location is 1257 Broad St, Sumter, South Carolina. You can reach out to his office (for appointments etc.) via phone at (404) 993-4721.

Aldous B Wilson is licensed to practice in South Carolina (license number 3651) 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 1528158680.

Contact Information

	Aldous B Wilson, DDS
	1257 Broad St, Sumter, SC 29150-1973
	(404) 993-4721
	Not Available

Healthcare Provider's Profile

Full Name	Aldous B Wilson
Gender	Male
Speciality	Dentist - General Practice
Location	1257 Broad St, Sumter, 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: 1528158680
Provider Enumeration Date: 10/12/2006
Last Update Date: 05/18/2015

Medicare PECOS Information:

PECOS PAC ID: 1759678170
Enrollment ID: I20160928000719

Medical Identifiers

Medical identifiers for Aldous B Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528158680	NPI	-	NPPES
00809025B	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	011947 (Georgia)	Secondary
1223G0001X	Dentist - General Practice	3651 (South Carolina)	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. Aldous B 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
Aldous B Wilson, DDS 552 Woodberry Dr, Orangeburg, SC 29115-2719 Ph: (404) 993-4721	Aldous B Wilson, DDS 1257 Broad St, Sumter, SC 29150-1973 Ph: (404) 993-4721

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Dentist in Sumter, SC

Dr. David M Vanpatten, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2590 Tahoe Drive, Sumter, SC 29150 Phone: 803-469-3555 Fax: 803-469-3515
Dr. Lisbeth W Poag, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 500 Physicians Ln, Sumter, SC 29150 Phone: 803-775-4793 Fax: 803-934-9943
Dr. William Neal Coulter, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2590 Lin Do Court, Sumter, SC 29150 Phone: 803-905-4321 Fax: 803-905-4325
Eddie C Durant Jr, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 852 W Liberty St, Sumter, SC 29150 Phone: 803-773-3328 Fax: 803-773-9601
Dr. Brian Timothy Bracken, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1121 Broad St, Sumter, SC 29150 Phone: 201-919-1950
Dr. Richard Anthony Suarez-murias, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1121 Broad St, Sumter, SC 29150 Phone: 803-590-3040
Dr. Marshall Lynn Wallace, DMD Dentist Medicare: Medicare Enrolled Practice Location: 3 Professional Ct, Sumter, SC 29150 Phone: 803-469-9461 Fax: 803-469-9023

Aldous B Wilson, DDS - Medicare Dentist in Sumter, SC