Fitzpatrick Chrispin Wilson, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Middle River, Maryland. His current practice location is
9601 Pulaski Park Dr, Suite 416, Middle River, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 933-5678.
Fitzpatrick Chrispin Wilson is licensed to practice in Maryland (license number D0078812) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1427028166.
Physician's Profile
Full Name | Fitzpatrick Chrispin Wilson |
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Gender | Male |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 9601 Pulaski Park Dr, Middle River, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427028166
- Provider Enumeration Date: 01/25/2006
- Last Update Date: 03/31/2015
Medicare PECOS Information:
- PECOS PAC ID: 9436100591
- Enrollment ID: I20150612001605
Medical Identifiers
Medical identifiers for Fitzpatrick Chrispin Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427028166 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | D0078812 (Maryland) | Primary |
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. Fitzpatrick Chrispin Wilson allows following entities to bill medicare on his behalf.
Entity Name | Ms-hc Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033177696 PECOS PAC ID: 0749172575 Enrollment ID: O20040326000859 |
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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. Fitzpatrick Chrispin 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 |
Fitzpatrick Chrispin Wilson, MD 9601 Pulaski Park Dr, Suite 416, Middle River, MD 21220-1409 Ph: (410) 933-5678 | Fitzpatrick Chrispin Wilson, MD 9601 Pulaski Park Dr, Suite 416, Middle River, MD 21220-1409 Ph: (410) 933-5678 |
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