Dominique Wilson, - Medicare Counselor in Chisago City, MN

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Dominique Wilson, is a medicare enrolled "Counselor - Professional" provider in Chisago City, Minnesota. Her current practice location is 11185 Lake Blvd Ste 205, Chisago City, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 228-3487.

Dominique Wilson is licensed to practice in * (Not Available) (license number ) 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 1083369490.

Contact Information

Dominique Wilson,
11185 Lake Blvd Ste 205,
Chisago City, MN 55013-9814
(952) 228-3487
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameDominique Wilson
GenderFemale
SpecialityCounselor - Professional
Location11185 Lake Blvd Ste 205, Chisago City, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083369490
  • Provider Enumeration Date: 02/14/2022
  • Last Update Date: 02/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4688022205
  • Enrollment ID: I20240214000160

Medical Identifiers

Medical identifiers for Dominique Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083369490NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional (* (Not Available))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. Dominique Wilson allows following entities to bill medicare on her behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameHealtheast Medical Research Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548

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. Dominique 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 AddressPractice Location Address
Dominique Wilson,
17566 Xingu St Ne,
Columbus, MN 55025-8869

Ph: (651) 276-5894		Dominique Wilson,
11185 Lake Blvd Ste 205,
Chisago City, MN 55013-9814

Ph: (952) 228-3487

Reviews and Comments


Counselor in Chisago City, MN

Michelle Kahler, LMFT
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 11549 Lake Ln Ste 2, Chisago City, MN 55013
Phone: 651-257-2733    
Lynn Marie Fagen Moore,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 11720 256th St, Chisago City, MN 55013
Phone: 651-257-4159    
Sheila Hermes, M.ED., LPCC, LADC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 11549 Lake Ln, Suite 2, Chisago City, MN 55013
Phone: 651-257-2733    Fax: 651-257-2783
Mrs. Nicole Marie Noren, MA LADC LPCC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 29079 Dahl Pl, Chisago City, MN 55013
Phone: 651-431-5337    
Rachel Weiher,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 11725 Stinson Ave Bldg A, Chisago City, MN 55013
Phone: 651-213-8060    
Dr. Cheri Ann Kuhn, LP
Counselor
Medicare: May Accept Medicare Assignments
Practice Location: 11185 Lake Blvd Ste 205, Chisago City, MN 55013
Phone: 612-865-9150    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.