Elizabeth Wilson, MD is a
Specialist physician based in East Hartford, Connecticut. Elizabeth Wilson is licensed to practice in Massachusetts (license number 55002) and her current practice location is 111 Founders Plz Ste 400, East Hartford, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 289-3375.
NPI number for Elizabeth Wilson is 1992791487 and her current mailing address is 111 Founders Plz Ste 400, East Hartford, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992791487.
Physician's Profile
Full Name | Elizabeth Wilson |
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Gender | Female |
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Speciality | Specialist |
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Location | 111 Founders Plz Ste 400, East Hartford, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992791487
- Provider Enumeration Date: 09/21/2005
- Last Update Date: 04/17/2020
Medical Identifiers
Medical identifiers for Elizabeth Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992791487 | NPI | - | NPPES |
3056520 | Medicaid | MA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085N0700X | Radiology - Neuroradiology | 55002 (Massachusetts) | Secondary |
2085P0229X | Radiology - Pediatric Radiology | 55002 (Massachusetts) | Secondary |
174400000X | Specialist | 55002 (Massachusetts) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 55002 (Massachusetts) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | 55002 (Massachusetts) | Secondary |
2085U0001X | Radiology - Diagnostic Ultrasound | 55002 (Massachusetts) | Secondary |
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. Elizabeth Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Elizabeth Wilson, MD 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 Ph: (860) 289-3375 | Elizabeth Wilson, MD 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 Ph: (860) 289-3375 |
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