Dr Kathi Ann Wilson, DDS in Grand Rapids, MI - Medicare Oral Surgery Provider

Dr Kathi Ann Wilson, DDS is a medicare enrolled "Dentist" provider in Grand Rapids, Michigan. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Oral Surgery. Her current practice location is 1625 Diamond Ave Ne, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 454-1482.

Dr Kathi Ann Wilson is licensed to practice in Michigan (license number 17948) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1144291477.

Contact Information

	Dr Kathi Ann Wilson, DDS
	1625 Diamond Ave Ne, Grand Rapids, MI 49505-4887
	(616) 454-1482
	(616) 454-4422

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kathi Ann Wilson
Gender	Female
Speciality	Oral Surgery
Experience	24 Years
Location	1625 Diamond Ave Ne, Grand Rapids, Michigan
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kathi Ann Wilson graduated from medical school in 2000

NPI Data:

NPI Number: 1144291477
Provider Enumeration Date: 01/26/2006
Last Update Date: 12/02/2019

Medicare PECOS Information:

PECOS PAC ID: 4486792637
Enrollment ID: I20091110000185

Medical Identifiers

Medical identifiers for Dr Kathi Ann Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144291477	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	17948 (Michigan)	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. Dr Kathi Ann Wilson allows following entities to bill medicare on her behalf.

Entity Name	Wilson Dental Care Gr Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598007379 PECOS PAC ID: 2264619550 Enrollment ID: O20141216002093

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. Dr Kathi Ann 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
Dr Kathi Ann Wilson, DDS 4820 Cascade Rd Se, Grand Rapids, MI 49546-3785 Ph: (616) 454-1482	Dr Kathi Ann Wilson, DDS 1625 Diamond Ave Ne, Grand Rapids, MI 49505-4887 Ph: (616) 454-1482

Reviews and Comments

Dentist in Grand Rapids, MI

Dr. Robert Graham Greenland, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1179 E Paris Ave Se Ste 100, Grand Rapids, MI 49546 Phone: 616-256-8770 Fax: 616-327-7452
Dr. Randy James Breen, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 515 Lakeside Dr Se, #208, Grand Rapids, MI 49506 Phone: 616-454-9091 Fax: 616-454-1159
Dr. Mary Bernona Stevens, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 1172 Nixon Ave Nw, Grand Rapids, MI 49544 Phone: 616-453-0644 Fax: 616-453-0640
Dr. Robert L Kintz, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2144 E Paris Ave Se, Suite 150, Grand Rapids, MI 49546 Phone: 616-942-2000 Fax: 616-942-6805
Dr. Matthew P. Durham, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2700 5 Mile Rd Ne, Ste. #201, Grand Rapids, MI 49525 Phone: 616-361-1727 Fax: 616-361-1455
Joseph Williams, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 101 Sheldon Blvd Se, Grand Rapids, MI 49503 Phone: 616-776-2340
Dr. Mark Louis Salhaney, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4500 Cascade Rd Se, Ste. 107, Grand Rapids, MI 49546 Phone: 616-957-1304 Fax: 616-957-4757

Dr Kathi Ann Wilson, DDS - Medicare Dentist in Grand Rapids, MI