Mr Woodrow Wilson Iii, in Marion, AR - Medicare Counselor Provider

Mr Woodrow Wilson Iii, is a medicare enrolled "Counselor - Professional" provider in Marion, Arkansas. His current practice location is 4001 Commercial Center Dr Ste 2, Marion, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 732-7920.

Mr Woodrow Wilson Iii is licensed to practice in Arkansas (license number P1012081) 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 1992087589.

Contact Information

	Mr Woodrow Wilson Iii,
	4001 Commercial Center Dr Ste 2, Marion, AR 72364-9616
	(870) 732-7920
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Woodrow Wilson Iii
Gender	Male
Speciality	Counselor - Professional
Location	4001 Commercial Center Dr Ste 2, Marion, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992087589
Provider Enumeration Date: 09/09/2011
Last Update Date: 08/26/2020

Medicare PECOS Information:

PECOS PAC ID: 7911359666
Enrollment ID: I20240117004913

Medical Identifiers

Medical identifiers for Mr Woodrow Wilson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992087589	NPI	-	NPPES
228145719	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	P1012081 (Arkansas)	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. Mr Woodrow Wilson Iii allows following entities to bill medicare on his behalf.

Entity Name	Life Strategies Counseling, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932154945 PECOS PAC ID: 5890887475 Enrollment ID: O20131112001495

Entity Name	Optum Behavioral Care Of North Carolina, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306613880 PECOS PAC ID: 5092120030 Enrollment ID: O20240321002678

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. Mr Woodrow Wilson Iii 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
Mr Woodrow Wilson Iii, 2809 Forest Home Rd, Jonesboro, AR 72401-5320 Ph: (866) 972-1268	Mr Woodrow Wilson Iii, 4001 Commercial Center Dr Ste 2, Marion, AR 72364-9616 Ph: (870) 732-7920

Reviews and Comments

Counselor in Marion, AR

Krissie L Shells, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 252 Manor St, Marion, AR 72364 Phone: 870-739-6818 Fax: 870-739-6821
Jayne Reagor, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 Manor St, Marion, AR 72364 Phone: 870-739-6818 Fax: 870-739-1970
Rosa Richardson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4001 Commercial Center Dr Ste 2, Marion, AR 72364 Phone: 870-732-7920 Fax: 870-732-7923
Eleanor Fondren, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 4001 Commercial Center Dr Ste 2, Marion, AR 72364 Phone: 870-732-7920 Fax: 870-732-7923
Hannah Clawson, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 252 Manor St, Marion, AR 72364 Phone: 870-739-6818 Fax: 870-739-6821
Shanquita Shantrelle Phillips, AT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2688 State Highway 77 S, Marion, AR 72364 Phone: 870-739-1700 Fax: 870-739-1752
Mrs. Shontrice D Hansen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4001 Commercial Center Dr Ste 2, Marion, AR 72364 Phone: 870-732-7920

Mr Woodrow Wilson Iii, - Medicare Counselor in Marion, AR