Elisabeth Brayton Wilson, MD - Medicare Family Practice in Lebanon, NH

Elisabeth Brayton Wilson, MD is a medicare enrolled "Family Medicine" physician in Lebanon, New Hampshire. She went to Tufts University School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Mary Hitchcock Memorial Hospital and her current practice location is 18 Old Etna Rd, Lebanon, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 650-4000.

Elisabeth Brayton Wilson is licensed to practice in New Hampshire (license number 22315) 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 1417973587.

Contact Information

Elisabeth Brayton Wilson, MD
18 Old Etna Rd,
Lebanon, NH 03766-1937
(603) 650-4000
Not Available

Map and Direction




Physician's Profile

Full NameElisabeth Brayton Wilson
GenderFemale
SpecialityFamily Practice
Experience26 Years
Location18 Old Etna Rd, Lebanon, New Hampshire
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Elisabeth Brayton Wilson attended and graduated from Tufts University School Of Medicine in 1998
  NPI Data:
  • NPI Number: 1417973587
  • Provider Enumeration Date: 07/14/2006
  • Last Update Date: 02/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9032371208
  • Enrollment ID: I20220217002369

Medical Identifiers

Medical identifiers for Elisabeth Brayton Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417973587NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 22315 (New Hampshire)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mary Hitchcock Memorial HospitalLebanon, NHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mary Hitchcock Memorial Hospital4486561164955

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. Elisabeth Brayton Wilson allows following entities to bill medicare on her behalf.
Entity NameMary Hitchcock Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023092053
PECOS PAC ID: 4486561164
Enrollment ID: O20031126000258
Entity NameDartmouth-hitchcock Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548210198
PECOS PAC ID: 4183537509
Enrollment ID: O20040809000442

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. Elisabeth Brayton 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
Elisabeth Brayton Wilson, MD
18 Old Etna Rd,
Lebanon, NH 03766-1937

Ph: (603) 650-4000
Elisabeth Brayton Wilson, MD
18 Old Etna Rd,
Lebanon, NH 03766-1937

Ph: (603) 650-4000

Reviews and Comments


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Practice Location: 18 Old Etna Rd, Lebanon, NH 03766
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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.