Dr Andrea Rose Wilson, AUD is a medicare enrolled "Speech-language Pathologist" provider in Fosston, Minnesota. She went to University Of Minnesota Medical School and graduated in 2019 and has 5 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. She is a member of the group practice Pine Peak Therapy Llc and her current practice location is
103 1st St W, Fosston, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(219) 435-1210.
Dr Andrea Rose Wilson is licensed to practice in Minnesota (license number 528834) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174183594.
Healthcare Provider's Profile
| Full Name | Dr Andrea Rose Wilson |
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| Gender | Female |
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| Speciality | Qualified Speech Language Pathologist |
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| Experience | 5 Years |
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| Location | 103 1st St W, Fosston, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Andrea Rose Wilson attended and graduated from University Of Minnesota Medical School in 2019
NPI Data:
- NPI Number: 1174183594
- Provider Enumeration Date: 06/18/2019
- Last Update Date: 05/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 1052647567
- Enrollment ID: I20240521001751
Medical Identifiers
Medical identifiers for Dr Andrea Rose Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174183594 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | 10264 (Minnesota) | Secondary |
| 235Z00000X | Speech-language Pathologist | 528834 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Pine Peak Therapy Llc | 8820447493 | 3 |
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 Andrea Rose Wilson allows following entities to bill medicare on her behalf.
| Provider Name | Pine Peak Therapy Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1982477030
PECOS PAC ID: 8820447493
Enrollment ID: O20231207001962 |
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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 Andrea Rose 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 Address | Practice Location Address |
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Dr Andrea Rose Wilson, AUD
Po Box 300,
Fosston, MN 56542-0300
Ph: (218) 435-1210 | Dr Andrea Rose Wilson, AUD
103 1st St W,
Fosston, MN 56542-1212
Ph: (219) 435-1210 |
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