Dr Carl Wilson, MD - Medicare Internal Medicine in Santa Rosa, CA

Dr Carl Wilson, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Santa Rosa, California. His current practice location is 435 Doyle Park Dr, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 527-9510.

Dr Carl Wilson is licensed to practice in California (license number G44318) 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 1033110465.

Contact Information

Dr Carl Wilson, MD
435 Doyle Park Dr,
Santa Rosa, CA 95405-4515
(707) 527-9510
(707) 527-1306



Physician's Profile

Full NameDr Carl Wilson
GenderMale
SpecialityInternal Medicine - Nephrology
Location435 Doyle Park Dr, Santa Rosa, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033110465
  • Provider Enumeration Date: 08/09/2005
  • Last Update Date: 07/25/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6406763143
  • Enrollment ID: I20090120000050

Medical Identifiers

Medical identifiers for Dr Carl Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033110465NPI-NPPES
00G443180MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology G44318 (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 Carl Wilson allows following entities to bill medicare on his behalf.
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346

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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 Carl 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 AddressPractice Location Address
Dr Carl Wilson, MD
435 Doyle Park Dr,
Santa Rosa, CA 95405-4515

Ph: (707) 527-9510
Dr Carl Wilson, MD
435 Doyle Park Dr,
Santa Rosa, CA 95405-4515

Ph: (707) 527-9510

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Internal Medicine Doctors in Santa Rosa, CA

Rajveer Sangera, DO
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 500 Doyle Park Dr Ste G04, Santa Rosa, CA 95405
Phone: 707-576-7100    
Dr. Yulia Rivelis, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 3883 Airway Dr, Santa Rosa, CA 95403
Phone: 707-573-5458    Fax: 707-573-5458
Soheila Benrazavi, MD
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 4730 Hoen Ave, Santa Rosa, CA 95405
Phone: 707-528-1616    
Jarrod Paul Holmes, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 3555 Round Barn Cir, Santa Rosa, CA 95403
Phone: 707-528-1050    Fax: 707-525-3874
Dominic Joseph Picetti, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403
Phone: 707-576-4000    
Parul Kohli, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 3536 Mendocino Ave, Ste 300, Santa Rosa, CA 95403
Phone: 707-546-2180    Fax: 707-546-2188
Scott M. Trahms, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403
Phone: 707-571-4000    

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