Dr Jessica Ann Wilson, MD is a medicare enrolled "Family Medicine" physician in Brewster, New York. Her current practice location is
155 Main St, Brewster, New York. You can reach out to her office (for appointments etc.) via phone at
(845) 279-6999.
Dr Jessica Ann Wilson is licensed to practice in New York (license number 300770) 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 1811341522.
Physician's Profile
| Full Name | Dr Jessica Ann Wilson |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 155 Main St, Brewster, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1811341522
- Provider Enumeration Date: 04/19/2016
- Last Update Date: 09/03/2019
Medicare PECOS Information:
- PECOS PAC ID: 1850672262
- Enrollment ID: I20170807003350
Medical Identifiers
Medical identifiers for Dr Jessica Ann Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811341522 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 64627 (Minnesota) | Secondary |
| 207Q00000X | Family Medicine | 62647 (Minnesota) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | 300770 (New York) | 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. Dr Jessica Ann Wilson allows following entities to bill medicare on her behalf.
| Entity Name | University Of Minnesota Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477598118
PECOS PAC ID: 9830001189
Enrollment ID: O20031104000532 |
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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 Jessica Ann 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 |
|---|
Dr Jessica Ann Wilson, MD
155 Main St,
Brewster, NY 10509-1521
Ph: (845) 279-6999 | Dr Jessica Ann Wilson, MD
155 Main St,
Brewster, NY 10509-1521
Ph: (845) 279-6999 |
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