Destiny Deshawn Wilson, MD in Dallas, TX

Destiny Deshawn Wilson, MD is a medicare enrolled "Pediatrics" physician in Dallas, Texas. Her current practice location is 7777 Forest Ln Ste 300, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 284-7770.

Destiny Deshawn Wilson is licensed to practice in Texas (license number T0673) 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 1508307752.

Contact Information

	Destiny Deshawn Wilson, MD
	7777 Forest Ln Ste 300, Dallas, TX 75230-2571
	(972) 284-7770
	Not Available

Map and Direction

Physician's Profile

Full Name	Destiny Deshawn Wilson
Gender	Female
Speciality	Pediatrics
Location	7777 Forest Ln Ste 300, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508307752
Provider Enumeration Date: 03/20/2017
Last Update Date: 04/01/2022

Medicare PECOS Information:

PECOS PAC ID: 9739450198
Enrollment ID: I20220328000800

Medical Identifiers

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

Identifier	Type	State	Issuer
1508307752	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	T0673 (Texas)	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. Destiny Deshawn Wilson allows following entities to bill medicare on her behalf.

Entity Name	Texas Health Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477628873 PECOS PAC ID: 7214840867 Enrollment ID: O20031110000388

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. Destiny Deshawn 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
Destiny Deshawn Wilson, MD 7777 Forest Ln Ste 300, Dallas, TX 75230-2571 Ph: (972) 284-7770	Destiny Deshawn Wilson, MD 7777 Forest Ln Ste 300, Dallas, TX 75230-2571 Ph: (972) 284-7770

Reviews and Comments

Pediatrics Doctors in Dallas, TX

Dr. Jyothsna Gattineni, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-3438
Ruth Osei Fordjour, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12221 Merit Dr, Suite 1500, Dallas, TX 75251 Phone: 214-957-4754
Dr. Alecia Curlene Nero, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-4180
Dr. Sravani Avula, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-730-5437
Asif Zia Khattak, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3500 Gaston Ave, Dallas, TX 75246 Phone: 214-820-7604
Sadia Malik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390 Phone: 214-456-2533 Fax: 214-456-8130
Sana Jamil Siddiqui, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390 Phone: 214-456-0488 Fax: 214-456-4486

Destiny Deshawn Wilson, MD - Medicare Pediatrics in Dallas, TX