Dr Rose Mary Wilson, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" physician in Plano, Texas. Her current practice location is
5804 Coit Rd Ste 100, Plano, Texas. You can reach out to her office (for appointments etc.) via phone at
(972) 424-3505.
Dr Rose Mary Wilson is licensed to practice in Texas (license number 692119) 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 1962076901.
Physician's Profile
Full Name | Dr Rose Mary Wilson |
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Gender | Female |
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Speciality | Podiatrist - Foot & Ankle Surgery |
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Location | 5804 Coit Rd Ste 100, Plano, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962076901
- Provider Enumeration Date: 05/14/2021
- Last Update Date: 11/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870028756
- Enrollment ID: I20241202001992
Medical Identifiers
Medical identifiers for Dr Rose Mary Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962076901 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207XX0004X | Orthopaedic Surgery - Foot And Ankle Surgery | 692119 (Texas) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 692119 (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. Dr Rose Mary Wilson allows following entities to bill medicare on her behalf.
Entity Name | Southwest Surgery And Wound Care Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841436078 PECOS PAC ID: 2668539198 Enrollment ID: O20090326000636 |
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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 Rose Mary 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 Rose Mary Wilson, DPM 5804 Coit Rd Ste 100, Plano, TX 75023-5955 Ph: (972) 424-3505 | Dr Rose Mary Wilson, DPM 5804 Coit Rd Ste 100, Plano, TX 75023-5955 Ph: (972) 424-3505 |
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