Bernadette L Wilson, DDS MD in Green Bay, WI

Bernadette L Wilson, DDS MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Green Bay, Wisconsin. Her current practice location is 430 Main St, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 431-0345.

Bernadette L Wilson is licensed to practice in Wisconsin (license number 5239) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861592529.

Contact Information

	Bernadette L Wilson, DDS MD
	430 Main St, Green Bay, WI 54301-5115
	(920) 431-0345
	(920) 431-0567

Map and Direction

Healthcare Provider's Profile

Full Name	Bernadette L Wilson
Gender	Female
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	430 Main St, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861592529
Provider Enumeration Date: 09/23/2006
Last Update Date: 02/06/2019

Medicare PECOS Information:

PECOS PAC ID: 2365451838
Enrollment ID: I20060411000392

Medical Identifiers

Medical identifiers for Bernadette L Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861592529	NPI	-	NPPES
33761400	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	2235 (Montana)	Secondary
204E00000X	Oral & Maxillofacial Surgery	11198 (Montana)	Secondary
204E00000X	Oral & Maxillofacial Surgery	5239 (Wisconsin)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	5239 (Wisconsin)	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. Bernadette L Wilson allows following entities to bill medicare on her behalf.

Entity Name	Baycare Clinic Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588609648 PECOS PAC ID: 4385554328 Enrollment ID: O20031105000087

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. Bernadette 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
Bernadette L Wilson, DDS MD 164 N Broadway, Green Bay, WI 54303-2728 Ph: (920) 490-9046	Bernadette L Wilson, DDS MD 430 Main St, Green Bay, WI 54301-5115 Ph: (920) 431-0345

Reviews and Comments

Dentist in Green Bay, WI

Dr. Bradley S Koch, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2353 S Ridge Rd, Green Bay, WI 54304 Phone: 920-499-0471 Fax: 920-499-8312
Dr. William Arthur Brennan, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 430 Main St, Green Bay, WI 54301 Phone: 920-431-1745 Fax: 920-431-1715
Lee S Bialkowski, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2821 S Webster Ave, Green Bay, WI 54301 Phone: 920-336-2299
Dr. Thomas Kissner, Dentist Medicare: Medicare Enrolled Practice Location: 2476 S Oneida St, Green Bay, WI 54304 Phone: 920-965-0764 Fax: 920-965-0807
Rodney A. Messner, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1052 Bel Aire Ct, Green Bay, WI 54304 Phone: 920-499-2121 Fax: 920-499-7644
Thuy Nguyen, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 331 N Broadway, Green Bay, WI 54303 Phone: 920-965-0831
Miss Alyce Sharon Hockers, Dentist Medicare: Medicare Enrolled Practice Location: 2121 S Webster Ave, Green Bay, WI 54301 Phone: 920-609-4829

Bernadette L Wilson, DDS MD - Medicare Dentist in Green Bay, WI