Mrs Shannon I Wilson, BS is a
Case Manager/care Coordinator based in Toledo, Ohio. Mrs Shannon I Wilson is licensed to practice in * (Not Available) (license number ) and her current practice location is
2005 Ashland Ave, Toledo, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 841-7701.
NPI number for Mrs Shannon I Wilson is 1760996607 and her current mailing address is 2005 Ashland Ave, Toledo, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760996607.
Healthcare Provider's Profile
| Full Name | Mrs Shannon I Wilson |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 2005 Ashland Ave, Toledo, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1760996607
- Provider Enumeration Date: 11/30/2017
- Last Update Date: 09/01/2022
Medical Identifiers
Medical identifiers for Mrs Shannon I Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760996607 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (Ohio) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Mrs Shannon I 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 |
|---|
Mrs Shannon I Wilson, BS
2005 Ashland Ave,
Toledo, OH 43620-1703
Ph: (419) 841-7701 | Mrs Shannon I Wilson, BS
2005 Ashland Ave,
Toledo, OH 43620-1703
Ph: (419) 841-7701 |
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