Douglas Wilson, is a
Case Manager/care Coordinator based in Lima, Ohio. Douglas Wilson is licensed to practice in Ohio (license number 180516) and his current practice location is
311 E Market St Fl 3, Lima, Ohio. He can be reached at his office (for appointments etc.) via phone at
(419) 222-4474.
NPI number for Douglas Wilson is 1427633411 and his current mailing address is 311 E Market St Fl 3, Lima, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1427633411.
Healthcare Provider's Profile
| Full Name | Douglas Wilson |
|---|
| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
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| Location | 311 E Market St Fl 3, Lima, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1427633411
- Provider Enumeration Date: 03/11/2021
- Last Update Date: 02/21/2023
Medical Identifiers
Medical identifiers for Douglas Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427633411 | NPI | - | NPPES |
| 0315095 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.180516 (Ohio) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | 180516 (Ohio) | Primary |
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. Douglas Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Douglas Wilson,
311 E Market St Fl 3,
Lima, OH 45801-4535
Ph: (419) 222-4474 | Douglas Wilson,
311 E Market St Fl 3,
Lima, OH 45801-4535
Ph: (419) 222-4474 |
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