Charlene Wilson, RDN, LD in Suwanee, GA - Medicare Dietitian, Registered Provider

Charlene Wilson, RDN, LD is a medicare enrolled "Dietitian, Registered" provider in Suwanee, Georgia. Her current practice location is 1325 Satellite Blvd Nw Ste 103, Suwanee, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 231-9264.

Charlene Wilson is licensed to practice in Georgia (license number LD005433) 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 1487290995.

Contact Information

	Charlene Wilson, RDN, LD
	1325 Satellite Blvd Nw Ste 103, Suwanee, GA 30024-4697
	(770) 231-9264
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Charlene Wilson
Gender	Female
Speciality	Dietitian, Registered
Location	1325 Satellite Blvd Nw Ste 103, Suwanee, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487290995
Provider Enumeration Date: 11/19/2019
Last Update Date: 02/24/2023

Medicare PECOS Information:

PECOS PAC ID: 4183048093
Enrollment ID: I20200724002378

Medical Identifiers

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

Identifier	Type	State	Issuer
1487290995	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	LD005433 (Georgia)	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. Charlene Wilson allows following entities to bill medicare on her behalf.

Provider Name	Harmony Nutrition Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1588127450 PECOS PAC ID: 7315371127 Enrollment ID: O20200103001410

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. Charlene 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
Charlene Wilson, RDN, LD 4553 Fairecroft Ter, Suwanee, GA 30024-4066 Ph: (770) 231-9264	Charlene Wilson, RDN, LD 1325 Satellite Blvd Nw Ste 103, Suwanee, GA 30024-4697 Ph: (770) 231-9264

Reviews and Comments

Dietitian, Registered in Suwanee, GA

Deepalakshmi Jayaraman Narayanaswamy, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3135 Mathis Airport Pkwy Ste 200, Suwanee, GA 30024 Phone: 678-250-3438 Fax: 866-850-2765
Madison Raquel Spek, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5004 Brendlynn Dr, Suwanee, GA 30024 Phone: 404-447-9701
Amy Rose Sabbag, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1267 Park Pass Way, Suwanee, GA 30024 Phone: 404-423-2471
Muthumeena Jayabalan, MS.,RDN.,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5880 Caveat Ct, Suwanee, GA 30024 Phone: 248-921-6582
Expectingeats Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1050 Croftmoore Lndg, Suwanee, GA 30024 Phone: 777-708-9635
Shi Yee Chen, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 785 Village Field Ct, Suwanee, GA 30024 Phone: 910-212-2618

Charlene Wilson, RDN, LD - Medicare Dietitian in Suwanee, GA