Ms Susan Annette Wilson, MED is a
Psychologist - Counseling based in Louisville, Kentucky. Ms Susan Annette Wilson is licensed to practice in Kentucky (license number KY-0488) and her current practice location is
3715 Bardstown Road, Suite 415, Family Links, Louisville, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(502) 639-0152.
NPI number for Ms Susan Annette Wilson is 1770560401 and her current mailing address is 1733 Bonnycastle Ave, Louisville, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770560401.
Healthcare Provider's Profile
Full Name | Ms Susan Annette Wilson |
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Gender | Female |
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Speciality | Psychologist - Counseling |
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Location | 3715 Bardstown Road, Suite 415, Louisville, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770560401
- Provider Enumeration Date: 12/23/2005
- Last Update Date: 09/15/2014
Medical Identifiers
Medical identifiers for Ms Susan Annette Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770560401 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | KY-1002 (Kentucky) | Secondary |
103TC1900X | Psychologist - Counseling | KY-0488 (Kentucky) | 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. Ms Susan Annette 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 |
Ms Susan Annette Wilson, MED 1733 Bonnycastle Ave, Louisville, KY 40205-1014 Ph: (502) 417-9881 | Ms Susan Annette Wilson, MED 3715 Bardstown Road, Suite 415, Family Links, Louisville, KY 40218 Ph: (502) 639-0152 |
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