Dr Tanya Kezia Danielle Wilson, MD in Indianapolis, IN

Dr Tanya Kezia Danielle Wilson, MD is a medicare enrolled "Family Medicine" physician in Indianapolis, Indiana. She went to Michigan State University College Of Human Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice University Family Physicians, Inc. and her current practice location is 1040 Wishard Blvd, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 962-8893.

Dr Tanya Kezia Danielle Wilson is licensed to practice in Indiana (license number 01077438A) 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 1366887564.

Contact Information

	Dr Tanya Kezia Danielle Wilson, MD
	1040 Wishard Blvd, Indianapolis, IN 46202-2872
	(317) 962-8893
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Tanya Kezia Danielle Wilson
Gender	Female
Speciality	Family Practice
Experience	14 Years
Location	1040 Wishard Blvd, Indianapolis, Indiana
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 Tanya Kezia Danielle Wilson attended and graduated from Michigan State University College Of Human Medicine in 2010

NPI Data:

NPI Number: 1366887564
Provider Enumeration Date: 05/02/2013
Last Update Date: 06/14/2022

Medicare PECOS Information:

PECOS PAC ID: 4486897360
Enrollment ID: I20160902001984

Medical Identifiers

Medical identifiers for Dr Tanya Kezia Danielle Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366887564	NPI	-	NPPES
201172370	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	01077438A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Indiana University Health	Indianapolis, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Family Physicians, Inc.	7911992797	424

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 Tanya Kezia Danielle Wilson allows following entities to bill medicare on her behalf.

Entity Name	University Family Physicians, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043275787 PECOS PAC ID: 7911992797 Enrollment ID: O20040420000393

Entity Name	Indiana University Health Care Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955

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 Tanya Kezia Danielle 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 Tanya Kezia Danielle Wilson, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Dr Tanya Kezia Danielle Wilson, MD 1040 Wishard Blvd, Indianapolis, IN 46202-2872 Ph: (317) 962-8893

Reviews and Comments

Family Medicine Doctors in Indianapolis, IN

Leigha Marie Murphy, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 8904 Bash St Ste B, Indianapolis, IN 46256 Phone: 317-735-6001 Fax: 855-450-1177
Donald H Lauer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1250 E County Line Rd, Suite 9, Indianapolis, IN 46227 Phone: 317-881-9797 Fax: 317-881-4156
Robert Kiess Newton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9560 E 59th St, Indianapolis, IN 46216 Phone: 317-621-1700 Fax: 317-621-1711
Dr. Bernard M Herbst, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5839 E Washington St, Indianapolis, IN 46219 Phone: 317-353-9777 Fax: 317-357-6922
Teresa Trierweiler, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4880 Century Plaza Rd, Suite 200, Indianapolis, IN 46254 Phone: 317-293-4113 Fax: 317-290-2542
Dr. Phumeza Msikinya, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8920 Southpointe Dr Ste B, Indianapolis, IN 46227 Phone: 317-497-1900
Ruben Hernan Hernandez Mondragon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1040 Wishard Blvd, Indianapolis, IN 46202 Phone: 317-962-8893 Fax: 317-962-2990

Dr Tanya Kezia Danielle Wilson, MD - Medicare Family Practice in Indianapolis, IN