Mr Timothy Wilson, MD - Medicare Urology in Santa Monica, CA

Mr Timothy Wilson, MD is a medicare enrolled "Urology" physician in Santa Monica, California. He went to Oregon Health Sciences University School Of Medicine and graduated in 1980 and has 44 years of diverse experience with area of expertise as Urology. He is a member of the group practice Providence Saint Johns Medical Foundation and his current practice location is 2121 Santa Monica Blvd, Santa Monica, California. You can reach out to his office (for appointments etc.) via phone at (310) 582-7137.

Mr Timothy Wilson is licensed to practice in California (license number G57490) 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 1912005422.

Contact Information

Mr Timothy Wilson, MD
2121 Santa Monica Blvd,
Santa Monica, CA 90404-2303
(310) 582-7137
(310) 582-7140



Physician's Profile

Full NameMr Timothy Wilson
GenderMale
SpecialityUrology
Experience44 Years
Location2121 Santa Monica Blvd, Santa Monica, California
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:
  • Mr Timothy Wilson attended and graduated from Oregon Health Sciences University School Of Medicine in 1980
  NPI Data:
  • NPI Number: 1912005422
  • Provider Enumeration Date: 09/20/2006
  • Last Update Date: 09/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6406861707
  • Enrollment ID: I20060207001043

Medical Identifiers

Medical identifiers for Mr Timothy Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912005422NPI-NPPES
00G574900MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology G57490 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Saint John's Health CenterSanta monica, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Saint Johns Medical Foundation0840548624315

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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. Mr Timothy Wilson allows following entities to bill medicare on his behalf.
Entity NameProvidence Saint Johns Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518438712
PECOS PAC ID: 0840548624
Enrollment ID: O20180810000904

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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. Mr Timothy 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
Mr Timothy Wilson, MD
1333 S Mayflower Ave, 2nd Floor,
Monrovia, CA 91016-4066

Ph: (626) 775-3514
Mr Timothy Wilson, MD
2121 Santa Monica Blvd,
Santa Monica, CA 90404-2303

Ph: (310) 582-7137

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Urology Doctors in Santa Monica, CA

Milton Krisiloff, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 2001 Santa Monica Blvd, Suite 1165 W, Santa Monica, CA 90404
Phone: 310-829-7766    Fax: 310-453-1031
Mehran Movassaghi, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 2001 Santa Monica Blvd Ste 460w, Santa Monica, CA 90404
Phone: 310-582-7333    Fax: 310-315-6157
Stanley Allen Brosman, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 2021 Santa Monica Blvd, #510, Santa Monica, CA 90404
Phone: 310-828-8531    Fax: 310-829-1350
Jesse N Mills, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1260 15th St, Suite 1200, Santa Monica, CA 90404
Phone: 310-451-8751    
Dr. Karyn S Eilber, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 2020 Santa Monica Blvd., Suite 570, Santa Monica, CA 90404
Phone: 310-453-2061    Fax: 310-453-2161
Gregory Scott Jack, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 1260 15th St, 1200, Santa Monica, CA 90404
Phone: 310-794-7700    Fax: 310-939-5302
Stacey C Carter, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1260 15th St, Suite 1200, Santa Monica, CA 90404
Phone: 310-451-8751    

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