Russell Andrew Wilson, MD - Medicare General Surgery in Fayetteville, GA

Russell Andrew Wilson, MD is a medicare enrolled "Surgery" physician in Fayetteville, Georgia. He went to University Of Texas Southwestern Medical School At Dallas and graduated in 1991 and has 33 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Piedmont Providers Llc and his current practice location is 1265 Highway 54 W Ste 500b, Fayetteville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 719-5660.

Russell Andrew Wilson is licensed to practice in Georgia (license number 040590) 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 1427057736.

Contact Information

Russell Andrew Wilson, MD
1265 Highway 54 W Ste 500b,
Fayetteville, GA 30214-4556
(770) 719-5660
(678) 336-5955



Physician's Profile

Full NameRussell Andrew Wilson
GenderMale
SpecialityGeneral Surgery
Experience33 Years
Location1265 Highway 54 W Ste 500b, Fayetteville, Georgia
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:
  • Russell Andrew Wilson attended and graduated from University Of Texas Southwestern Medical School At Dallas in 1991
  NPI Data:
  • NPI Number: 1427057736
  • Provider Enumeration Date: 07/19/2005
  • Last Update Date: 07/21/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5092778688
  • Enrollment ID: I20041104000918

Medical Identifiers

Medical identifiers for Russell Andrew Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427057736NPI-NPPES
P00081030OtherGARAILROAD MEDICARE
00711389CMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 040590 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Piedmont Fayette HospitalFayetteville, GAHospital
Piedmont Newnan Hospital, IncNewnan, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Piedmont Providers Llc9830082825371

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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. Russell Andrew Wilson allows following entities to bill medicare on his behalf.
Entity NamePiedmont Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548273592
PECOS PAC ID: 9830082825
Enrollment ID: O20040204000321

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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. Russell Andrew 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
Russell Andrew Wilson, MD
1265 Highway 54 W, Suite 500b,
Fayetteville, GA 30214-4548

Ph: (770) 719-5660
Russell Andrew Wilson, MD
1265 Highway 54 W Ste 500b,
Fayetteville, GA 30214-4556

Ph: (770) 719-5660

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Surgery Doctors in Fayetteville, GA

Dr. Janine Nicole Pettiford, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 325 North Jeff Davis Dr, Fayetteville, GA 30214
Phone: 770-461-1337    Fax: 770-461-0922
Walker Shearon, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 1265 Highway 54 W Ste 500b, Fayetteville, GA 30214
Phone: 404-265-4411    
Dr. James Mattingly Stevens, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1265 Highway 54 W, Suite 500b, Fayetteville, GA 30214
Phone: 770-719-5660    Fax: 678-817-4339
Lloyd Thomas Winger Iv, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1265 Highway 54 W, Suite 500b, Fayetteville, GA 30214
Phone: 770-719-5660    Fax: 678-817-4339
Dr. Nicole L Sroka, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1279 Highway 54 W, Suite 210, Fayetteville, GA 30214
Phone: 770-719-5710    Fax: 678-817-4360
Douglas E Howell, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1265 Highway 54 W, Suite 201, Fayetteville, GA 30214
Phone: 770-719-5603    Fax: 770-719-9169

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