Dr Kevin William Wilson, MD - Medicare Orthopedic Surgery in State College, PA

Dr Kevin William Wilson, MD is a medicare enrolled "Orthopaedic Surgery" physician in State College, Pennsylvania. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 2007 and has 17 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Phoenix Rehabilitation And Health Services Inc, Keystone Rehabilitation Systems Inc, Mount Nittany Medical Center Health Services Inc and his current practice location is 1700 Old Gatesburg Rd Ste 200, State College, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 237-4321.

Dr Kevin William Wilson is licensed to practice in Pennsylvania (license number MD468320) 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 1790980381.

Contact Information

Dr Kevin William Wilson, MD
1700 Old Gatesburg Rd Ste 200,
State College, PA 16803-2276
(814) 237-4321
(814) 235-0484



Physician's Profile

Full NameDr Kevin William Wilson
GenderMale
SpecialityOrthopedic Surgery
Experience17 Years
Location1700 Old Gatesburg Rd Ste 200, State College, Pennsylvania
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:
  • Dr Kevin William Wilson attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 2007
  NPI Data:
  • NPI Number: 1790980381
  • Provider Enumeration Date: 06/15/2007
  • Last Update Date: 07/29/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4981887148
  • Enrollment ID: I20190820000905

Medical Identifiers

Medical identifiers for Dr Kevin William Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790980381NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XX0005XOrthopaedic Surgery - Sports Medicine MD468320 (Pennsylvania)Secondary
207X00000XOrthopaedic Surgery MD468320 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mount Nittany Medical CenterState college, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Phoenix Rehabilitation And Health Services Inc347646429851
Keystone Rehabilitation Systems Inc7012826753505
Mount Nittany Medical Center Health Services Inc8426136797196

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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 Kevin William Wilson allows following entities to bill medicare on his behalf.
Entity NameMount Nittany Medical Center Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164691499
PECOS PAC ID: 8426136797
Enrollment ID: O20081021000240

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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 Kevin William 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 Kevin William Wilson, MD
1700 Old Gatesburg Rd Ste 200,
State College, PA 16803-2276

Ph: (814) 237-4321
Dr Kevin William Wilson, MD
1700 Old Gatesburg Rd Ste 200,
State College, PA 16803-2276

Ph: (814) 237-4321

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Orthopaedic Surgery Doctors in State College, PA

Dr. Dov A Bader, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1850 E Park Ave, Suite 112, State College, PA 16803
Phone: 814-865-3566    Fax: 814-863-7803
Dr. Edwin J Rogusky, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 101 Regent Ct, State College, PA 16801
Phone: 814-231-2101    Fax: 814-231-8569
Thomas J Ellis, D.O.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 101 Regent Ct, State College, PA 16801
Phone: 814-231-2101    Fax: 814-231-8569
Dr. Christopher J. Lincoski, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 101 Regent Ct, State College, PA 16801
Phone: 814-231-2101    Fax: 814-231-8569
James S Martin, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1700 Old Gatesburg Rd Ste 200, State College, PA 16803
Phone: 814-237-4321    Fax: 814-235-0484
Kenneth L Cherry, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 476 Rolling Drive Drive, Suite 200, State College, PA 16801
Phone: 814-231-2101    Fax: 814-231-8569
Paul K Herickhoff, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1850 E Park Ave Ste 112, State College, PA 16803
Phone: 814-865-3566    Fax: 814-863-7803

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