Hannah Elizabeth Qualls Wilson, MD is a medicare enrolled "Otolaryngology - Pediatric Otolaryngology" physician in Maitland, Florida. Her current practice location is
790 Concourse Pkwy S Ste 110, Maitland, Florida. You can reach out to her office (for appointments etc.) via phone at
(407) 253-1000.
Hannah Elizabeth Qualls Wilson is licensed to practice in Washington (license number MD60960564) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619234135.
Physician's Profile
Full Name | Hannah Elizabeth Qualls Wilson |
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Gender | Female |
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Speciality | Otolaryngology - Pediatric Otolaryngology |
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Location | 790 Concourse Pkwy S Ste 110, Maitland, Florida |
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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: 1619234135
- Provider Enumeration Date: 04/20/2012
- Last Update Date: 07/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 9739482605
- Enrollment ID: I20190916000223
Medical Identifiers
Medical identifiers for Hannah Elizabeth Qualls Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619234135 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207YP0228X | Otolaryngology - Pediatric Otolaryngology | MD60960564 (Washington) | 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. Hannah Elizabeth Qualls Wilson allows following entities to bill medicare on her behalf.
Entity Name | Columbia Surgical Specialists, Ps |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417067372 PECOS PAC ID: 2860305505 Enrollment ID: O20031110000300 |
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Entity Name | Providence Health & Services Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20040311001453 |
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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. Hannah Elizabeth Qualls 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 |
Hannah Elizabeth Qualls Wilson, MD 790 Concourse Pkwy S Ste 110, Maitland, FL 32751-6114 Ph: (407) 253-1000 | Hannah Elizabeth Qualls Wilson, MD 790 Concourse Pkwy S Ste 110, Maitland, FL 32751-6114 Ph: (407) 253-1000 |
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