Dr Jaquelyn Risa Wilansky, MD is a medicare enrolled "Hospitalist" physician in Springdale, Arkansas. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Banner Hospital Based Physicians Arizona Llc and her current practice location is
2158 Butterfield Coach Rd Ste 100, Springdale, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 757-5026.
Dr Jaquelyn Risa Wilansky is licensed to practice in Arizona (license number 60377) 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 1720519812.
Physician's Profile
Full Name | Dr Jaquelyn Risa Wilansky |
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Gender | Female |
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Speciality | Hospitalist |
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Experience | 7 Years |
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Location | 2158 Butterfield Coach Rd Ste 100, Springdale, Arkansas |
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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:
- Dr Jaquelyn Risa Wilansky graduated from medical school in 2017
NPI Data:
- NPI Number: 1720519812
- Provider Enumeration Date: 03/21/2017
- Last Update Date: 06/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 0840568895
- Enrollment ID: I20200826002358
Medical Identifiers
Medical identifiers for Dr Jaquelyn Risa Wilansky such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720519812 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | E-12048 (Arkansas) | Secondary |
207Q00000X | Family Medicine | E-12048 (Arkansas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
208M00000X | Hospitalist | 60377 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Banner Hospital Based Physicians Arizona Llc | 3274782487 | 405 |
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 Jaquelyn Risa Wilansky allows following entities to bill medicare on her behalf.
Entity Name | Banner Hospital Based Physicians Arizona Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752 |
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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. Dr Jaquelyn Risa Wilansky 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 Jaquelyn Risa Wilansky, MD 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 Ph: (479) 521-8260 | Dr Jaquelyn Risa Wilansky, MD 2158 Butterfield Coach Rd Ste 100, Springdale, AR 72764-9142 Ph: (479) 757-5026 |
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