DR. REYNALDO BENNETT WILSON DDS - NPI 1487788212

Q: What is Reynaldo Wilson's NPI number?

The NPI number for Reynaldo Wilson is 1487788212. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Q: What is Reynaldo Wilson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Reynaldo Wilson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Reynaldo Bennett Wilson Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. REYNALDO BENNETT WILSON DDS (NPI 1487788212) is an individual general practice provider in Richmond, California, licensed in California (33405) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487788212

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. REYNALDO BENNETT WILSONCredential: DDS

Location Address265 16TH STRichmond, CA 94801-3214

Mailing Address1029 Sandhurst DrVallejo, CA 94591-6881 · (707) 554-2645

Phone(510) 233-6515

Sole ProprietorNo

Enumeration DateMarch 15, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1487788212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 33405

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

265 16TH ST, Richmond, CA 94801

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Reynaldo Bennett Wilson Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SONAL ANAND

Dentist (General Practice)