Dr Carlene A Wilson, MD - Medicare Internal Medicine in Crystal River, FL

Dr Carlene A Wilson, MD is a medicare enrolled "Internal Medicine" physician in Crystal River, Florida. She graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Internal Medicine And Pediatrics Wellness Center and her current practice location is 6038 W Nordling Loop, Crystal River, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 563-5070.

Dr Carlene A Wilson is licensed to practice in Florida (license number ME93743) 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 1407850365.

Contact Information

Dr Carlene A Wilson, MD
6038 W Nordling Loop,
Crystal River, FL 34429
(352) 563-5070
(352) 795-4322

Map and Direction




Physician's Profile

Full NameDr Carlene A Wilson
GenderFemale
SpecialityInternal Medicine
Experience27 Years
Location6038 W Nordling Loop, Crystal River, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Carlene A Wilson graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1407850365
  • Provider Enumeration Date: 06/09/2005
  • Last Update Date: 06/09/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 1658330006
  • Enrollment ID: I20060117000828

Medical Identifiers

Medical identifiers for Dr Carlene A Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407850365NPI-NPPES
271841MedicaidSC
273971200MedicaidFL
5705127861001OtherSCBLUE CROSS OF SC
GP0237MedicaidSC
428955383AMedicaidGA
30031OtherFLBLUE CROSS OF FLORIDA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine ME93743 (Florida)Primary
208000000XPediatrics ME93743 (Florida)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Advocate Home Health Care IncCrystal river, FLHome health agency
Vitas Healthcare Corporation Of FloridaMelbourne, FLHospice
Bayfront Health Seven RiversCrystal river, FLHospital
Citrus Memorial HospitalInverness, FLHospital

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 Carlene A Wilson allows following entities to bill medicare on her behalf.
Entity NameInternal Medicine & Pediatrics Wellness Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992825145
PECOS PAC ID: 9739103920
Enrollment ID: O20060113000721
Entity NameQuality Healthcare Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184194334
PECOS PAC ID: 5698012441
Enrollment ID: O20190131003278

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 Carlene A 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 AddressPractice Location Address
Dr Carlene A Wilson, MD
6038 W Nordling Loop,
Crystal River, FL 34429

Ph: (352) 563-5070
Dr Carlene A Wilson, MD
6038 W Nordling Loop,
Crystal River, FL 34429

Ph: (352) 563-5070

Reviews and Comments


Internal Medicine Doctors in Crystal River, FL

Dr. Purnachander R Bikkasani, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6410 W Gulf To Lake Hwy, Crystal River, FL 34429
Phone: 352-563-2450    Fax: 352-563-2512
Dr. Lakshmipathi R Reddi, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6410 W Gulf To Lake Hwy, Crystal River, FL 34429
Phone: 352-563-2450    Fax: 352-563-2512
Dr. Angela Acevedo, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6202 W Corporate Oaks Dr, Crystal River, FL 34429
Phone: 352-795-9697    Fax: 352-795-9698
Dr. Craig Warren Englund, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 770 Se 5th Ter, Crystal River, FL 34429
Phone: 352-795-6674    
Dr. Sunoj Abraham, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5616 W Norvell Bryant Hwy, Crystal River, FL 34429
Phone: 352-795-1999    Fax: 352-795-2269
Srinivas Sanka, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 730 Se 5th Terrace, Crystal River, FL 34429
Phone: 352-699-2040    Fax: 352-699-2042
Dr. Padma Venuaopala Reddy, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7415 W Gulf To Lake Hwy, Crystal River, FL 34429
Phone: 352-795-1415    Fax: 352-795-6801

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.