Mrs Vevelyn Peterson Wilson, is a medicare enrolled "Social Worker - Clinical" provider in Gardendale, Alabama. Her current practice location is
Po Box 235, Gardendale, Alabama. You can reach out to her office (for appointments etc.) via phone at
(205) 639-9039.
Mrs Vevelyn Peterson Wilson is licensed to practice in Alabama (license number 4081C) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831947746.
Healthcare Provider's Profile
Full Name | Mrs Vevelyn Peterson Wilson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | Po Box 235, Gardendale, Alabama |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1831947746
- Provider Enumeration Date: 05/07/2024
- Last Update Date: 05/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 7911449111
- Enrollment ID: I20240603003548
Medical Identifiers
Medical identifiers for Mrs Vevelyn Peterson Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831947746 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 4081C (Alabama) | 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. Mrs Vevelyn Peterson Wilson allows following entities to bill medicare on her behalf.
Entity Name | Premier Mental Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043766009 PECOS PAC ID: 8123467610 Enrollment ID: O20240417000411 |
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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. Mrs Vevelyn Peterson 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 |
Mrs Vevelyn Peterson Wilson, Po Box 235, Gardendale, AL 35071-0235 Ph: (205) 693-9039 | Mrs Vevelyn Peterson Wilson, Po Box 235, Gardendale, AL 35071-0235 Ph: (205) 639-9039 |
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