Annette Marie Wilson, MA is a medicare enrolled "Psychologist - Clinical" provider in Downers Grove, Illinois. Her current practice location is
5207 Main St, Downers Grove, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 942-6323.
Annette Marie Wilson is licensed to practice in Illinois (license number 071010159) 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 1497995906.
Healthcare Provider's Profile
| Full Name | Annette Marie Wilson |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 5207 Main St, Downers Grove, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1497995906
- Provider Enumeration Date: 02/23/2009
- Last Update Date: 08/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 8628403896
- Enrollment ID: I20200115003135
Medical Identifiers
Medical identifiers for Annette Marie Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497995906 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15711-130 (Wisconsin) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071010159 (Illinois) | 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. Annette Marie Wilson allows following entities to bill medicare on her behalf.
| Entity Name | Dupage Medical Group Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801833983
PECOS PAC ID: 5496667941
Enrollment ID: O20031110000535 |
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| Entity Name | Institute For Personal Development |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942247895
PECOS PAC ID: 6608780481
Enrollment ID: O20031117000178 |
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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. Annette Marie 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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Annette Marie Wilson, MA
Po Box 7410264,
Chicago, IL 60674-0264
Ph: (815) 942-6323 | Annette Marie Wilson, MA
5207 Main St,
Downers Grove, IL 60515-4652
Ph: (815) 942-6323 |
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