Matthew Blake Wilson, in Savannah, TN - Medicare Counselor Provider

Matthew Blake Wilson, is a medicare enrolled "Counselor - Professional" provider in Savannah, Tennessee. His current practice location is 175 Enoch Blvd, Savannah, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 925-2300.

Matthew Blake Wilson is licensed to practice in Tennessee (license number 4461) 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 1871066456.

Contact Information

	Matthew Blake Wilson,
	175 Enoch Blvd, Savannah, TN 38372-2240
	(731) 925-2300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Matthew Blake Wilson
Gender	Male
Speciality	Counselor - Professional
Location	175 Enoch Blvd, Savannah, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871066456
Provider Enumeration Date: 01/07/2019
Last Update Date: 08/26/2024

Medicare PECOS Information:

PECOS PAC ID: 4688913189
Enrollment ID: I20240419001230

Medical Identifiers

Medical identifiers for Matthew Blake Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871066456	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	4461 (Tennessee)	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. Matthew Blake Wilson allows following entities to bill medicare on his behalf.

Entity Name	Hardin County Regional Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184676157 PECOS PAC ID: 3779490776 Enrollment ID: O20040430000116

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. Matthew Blake 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
Matthew Blake Wilson, Po Box 655, Savannah, TN 38372-0655 Ph: (731) 925-2300	Matthew Blake Wilson, 175 Enoch Blvd, Savannah, TN 38372-2240 Ph: (731) 925-2300

Reviews and Comments

Counselor in Savannah, TN

Melissa Robinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1410 Pickwick St S, Savannah, TN 38372 Phone: 731-925-5054 Fax: 731-925-5699
Tammy Hayes, BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1410 Pickwick St S, Savannah, TN 38372 Phone: 731-925-5054 Fax: 731-925-5699
Larry Phillips, B.S.S.W. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1410 Pickwick St S, Savannah, TN 38372 Phone: 731-925-5054 Fax: 731-925-5699
Alissa Mcginley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1410 Pickwick St, Savannah, TN 38372 Phone: 731-925-5054 Fax: 731-925-5699
Belinda J Dickson, LPC, MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 395 Florence Road, Savannah, TN 38372 Phone: 731-925-2727 Fax: 731-925-2802
Mary Katherine Hardwick, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1410 Pickwick St S, Savannah, TN 38372 Phone: 731-925-5054 Fax: 731-925-5699
Loren Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 855 Pickwick St, Savannah, TN 38372 Phone: 731-503-3190

Matthew Blake Wilson, - Medicare Counselor in Savannah, TN