Dr Mary M Wilson, MD - Medicare Emergency Medicine in Champlin, MN

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Dr Mary M Wilson, MD is a medicare enrolled "Emergency Medicine" physician in Champlin, Minnesota. Her current practice location is 11665 Pondview Ct, Champlin, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 421-9387.

Dr Mary M Wilson is licensed to practice in Minnesota (license number 33356) 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 1992764054.

Contact Information

Dr Mary M Wilson, MD
11665 Pondview Ct,
Champlin, MN 55316-2629
(763) 421-9387
(763) 421-9387

Map and Direction




Physician's Profile

Full NameDr Mary M Wilson
GenderFemale
SpecialityEmergency Medicine
Location11665 Pondview Ct, Champlin, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992764054
  • Provider Enumeration Date: 03/18/2006
  • Last Update Date: 11/16/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 7113229295
  • Enrollment ID: I20160106001715

Medical Identifiers

Medical identifiers for Dr Mary M Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992764054NPI-NPPES
33356OtherMN MEDICAL LICENSE
938500200MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 33356 (Minnesota)Primary

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 Mary M 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 Mary M Wilson, MD
11665 Pondview Ct,
Champlin, MN 55316-2629

Ph: (763) 421-9387		Dr Mary M Wilson, MD
11665 Pondview Ct,
Champlin, MN 55316-2629

Ph: (763) 421-9387

Reviews and Comments


Emergency Medicine Doctors in Champlin, MN


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.