Amanda Mary Wilson, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Fergus Falls, Minnesota. She graduated from medical school in 2012 and has 13 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Lake Region Healthcare Corporation and her current practice location is
712 S Cascade St, Fergus Falls, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 736-8000.
Amanda Mary Wilson is licensed to practice in Minnesota (license number 67864) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013271238.
Physician's Profile
Full Name | Amanda Mary Wilson |
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Gender | Female |
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Speciality | Obstetrics/gynecology |
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Experience | 13 Years |
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Location | 712 S Cascade St, Fergus Falls, Minnesota |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Amanda Mary Wilson graduated from medical school in 2012
NPI Data:
- NPI Number: 1013271238
- Provider Enumeration Date: 07/03/2012
- Last Update Date: 09/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 1557652898
- Enrollment ID: I20200929002930
Medical Identifiers
Medical identifiers for Amanda Mary Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013271238 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 67864 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Lake Region Healthcare Corporation | 3971565334 | 114 |
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. Amanda Mary Wilson allows following entities to bill medicare on her behalf.
Entity Name | Lake Region Healthcare Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093713372 PECOS PAC ID: 3971565334 Enrollment ID: O20060109000246 |
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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. Amanda Mary 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 |
Amanda Mary Wilson, DO 712 S Cascade St, Fergus Falls, MN 56537-2913 Ph: (218) 736-8000 | Amanda Mary Wilson, DO 712 S Cascade St, Fergus Falls, MN 56537-2913 Ph: (218) 736-8000 |
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