Dr Therese M Wilson, MD is a medicare enrolled "Dermatology" physician in Indiana, Pennsylvania. 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 | |
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Experience | 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. |
Medical Education and Training:
- Dr Therese M Wilson attended and graduated from in
NPI Data:
- NPI Number: 1972581858
- Provider Enumeration Date: 01/02/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Therese M Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972581858 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | MD419534 (Pennsylvania) | 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 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 |
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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