Dr Frederick L Wilson, EDD is a medicare enrolled "Psychologist" provider in Chesapeake, Virginia. His current practice location is
2117 Smith Ave, Suite B, Chesapeake, Virginia. You can reach out to his office (for appointments etc.) via phone at
(757) 937-3969.
Dr Frederick L Wilson is licensed to practice in Virginia (license number 0701005950) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1144427196.
Healthcare Provider's Profile
| Full Name | Dr Frederick L Wilson |
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| Gender | Male |
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| Speciality | Psychologist |
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| Location | 2117 Smith Ave, Chesapeake, Virginia |
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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: 1144427196
- Provider Enumeration Date: 07/02/2007
- Last Update Date: 02/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991065401
- Enrollment ID: I20240509001393
Medical Identifiers
Medical identifiers for Dr Frederick L Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144427196 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 6644 (North Carolina) | Secondary |
| 101YM0800X | Counselor - Mental Health | 0701005950 (Virginia) | Secondary |
| 103T00000X | Psychologist | 0701005950 (Virginia) | 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 Frederick L Wilson allows following entities to bill medicare on his behalf.
| Entity Name | Comprehensive Psychological Services Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598861387
PECOS PAC ID: 5799753984
Enrollment ID: O20040924000566 |
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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 Frederick L 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 |
|---|
Dr Frederick L Wilson, EDD
2117 Smith Ave, Suite B,
Chesapeake, VA 23320-2519
Ph: (757) 937-3969 | Dr Frederick L Wilson, EDD
2117 Smith Ave, Suite B,
Chesapeake, VA 23320-2519
Ph: (757) 937-3969 |
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