Dr Nicholas James Wilson, DC is a medicare enrolled "Chiropractor" provider in Fontana, Wisconsin. He went to Palmer College Chiropractic - Davenport and graduated in 2014 and has 10 years of diverse experience with area of expertise as Chiropractic. His current practice location is
450 Mill St Ste 102, Fontana, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 275-5005.
Dr Nicholas James Wilson is licensed to practice in Wisconsin (license number 5035-12) 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 1962807065.
Healthcare Provider's Profile
| Full Name | Dr Nicholas James Wilson |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 10 Years |
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| Location | 450 Mill St Ste 102, Fontana, Wisconsin |
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| Accepts Medicare Assignments | Yes. He 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 Nicholas James Wilson attended and graduated from Palmer College Chiropractic - Davenport in 2014
NPI Data:
- NPI Number: 1962807065
- Provider Enumeration Date: 10/31/2014
- Last Update Date: 10/31/2014
Medicare PECOS Information:
- PECOS PAC ID: 0749591618
- Enrollment ID: I20150618001496
Medical Identifiers
Medical identifiers for Dr Nicholas James Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962807065 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 5035-12 (Wisconsin) | 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. Dr Nicholas James Wilson allows following entities to bill medicare on his behalf.
| Provider Name | Wilson Chiropractic Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1407235674
PECOS PAC ID: 9830400704
Enrollment ID: O20150618001399 |
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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 Nicholas James 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 Nicholas James Wilson, DC
1983 N Summit Ave Unit 20,
Milwaukee, WI 53202-1387
Ph: () - | Dr Nicholas James Wilson, DC
450 Mill St Ste 102,
Fontana, WI 53125-1242
Ph: (262) 275-5005 |
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