Michael R Wilson, MD - Medicare Urology in Fayetteville, AR

Michael R Wilson, MD is a medicare enrolled "Urology" physician in Fayetteville, Arkansas. His current practice location is 1300 E Zion Rd, Fayetteville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 521-8980.

Michael R Wilson is licensed to practice in Arkansas (license number E-3255) 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 1417914813.

Contact Information

Michael R Wilson, MD
1300 E Zion Rd,
Fayetteville, AR 72703-5015
(479) 521-8980
(479) 521-8982



Physician's Profile

Full NameMichael R Wilson
GenderMale
SpecialityUrology
Location1300 E Zion Rd, Fayetteville, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417914813
  • Provider Enumeration Date: 04/28/2006
  • Last Update Date: 09/08/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 3779682083
  • Enrollment ID: I20070627000714

Medical Identifiers

Medical identifiers for Michael R Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417914813NPI-NPPES
146880001MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology E-3255 (Arkansas)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. Michael R Wilson allows following entities to bill medicare on his behalf.
Entity NameNorthwest Arkansas Urology Associates, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720418213
PECOS PAC ID: 9739311499
Enrollment ID: O20140410002014

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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. Michael R 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
Michael R Wilson, MD
1300 E Zion Rd,
Fayetteville, AR 72703-5015

Ph: (479) 521-8980
Michael R Wilson, MD
1300 E Zion Rd,
Fayetteville, AR 72703-5015

Ph: (479) 521-8980

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Urology Doctors in Fayetteville, AR

Richard D Mcwhorter, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 2 East Appleby Rd., Suite 201, Fayetteville, AR 72703
Phone: 479-404-1100    Fax: 479-404-1101
William Vernon Fairchild, MD
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 1100 N College Ave, Fayetteville, AR 72703
Phone: 479-443-4301    
Dr. Aleksandar Cody Blubaum, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 3 E Appleby Rd Ste 201, Fayetteville, AR 72703
Phone: 479-404-1100    
Charles Mark Jackson, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 3 E Appleby Rd Ste 201, Fayetteville, AR 72703
Phone: 479-404-1100    Fax: 479-404-1101
Dr. Issam Toufic Shalhoub, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 1100 N College Ave, Fayetteville, AR 72703
Phone: 479-443-4301    
Truman Stephen Shaddox, M.D.
Urology
Medicare: Medicare Enrolled
Practice Location: 12 E Appleby Rd, Ste 101, Fayetteville, AR 72703
Phone: 479-463-4444    Fax: 479-463-4499

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