Dr Therese M Wilson, MD is a medicare enrolled "Dermatology" physician in Indiana, Pennsylvania. She went to Louisiana State University School Of Medicine In New Orleans and graduated in 1991 and has 33 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Indiana Healthcare Physician Services Inc and her current practice location is
120 Irmc Dr Ste 130, Indiana, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(724) 471-7100.
Dr Therese M Wilson is licensed to practice in Pennsylvania (license number MD419534) 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 1972581858.
Physician's Profile
| Full Name | Dr Therese M Wilson |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 33 Years |
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| Location | 120 Irmc Dr Ste 130, Indiana, Pennsylvania |
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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. |
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Medical Education and Training:
- Dr Therese M Wilson attended and graduated from Louisiana State University School Of Medicine In New Orleans in 1991
NPI Data:
- NPI Number: 1972581858
- Provider Enumeration Date: 01/02/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 3173410990
- Enrollment ID: I20040304000325
Medical Identifiers
Medical identifiers for Dr Therese M Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972581858 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | MD419534 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Indiana Healthcare Physician Services Inc | 5294723359 | 112 |
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 Therese M Wilson allows following entities to bill medicare on her behalf.
| Entity Name | Indiana Healthcare Physician Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578523429
PECOS PAC ID: 5294723359
Enrollment ID: O20040927000404 |
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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 Therese 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 Address | Practice Location Address |
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Dr Therese M Wilson, MD
801 York St,
Manitowoc, WI 54220-4630
Ph: (920) 663-9146 | Dr Therese M Wilson, MD
120 Irmc Dr Ste 130,
Indiana, PA 15701-3674
Ph: (724) 471-7100 |
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