Heidi Renee Wilson, MD is a medicare enrolled "General Practice" physician in Horseheads, New York. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1984 and has 40 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Our Lady Of Lourdes Memorial Hospital Inc and her current practice location is
100 John Roemmelt Dr, Horseheads, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 739-0352.
Heidi Renee Wilson is licensed to practice in New York (license number 321807) 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 1659486520.
Physician's Profile
Full Name | Heidi Renee Wilson |
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Gender | Female |
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Speciality | Family Practice |
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Experience | 40 Years |
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Location | 100 John Roemmelt Dr, Horseheads, New York |
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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:
- Heidi Renee Wilson attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1984
NPI Data:
- NPI Number: 1659486520
- Provider Enumeration Date: 08/20/2006
- Last Update Date: 03/18/2009
Medicare PECOS Information:
- PECOS PAC ID: 5294779450
- Enrollment ID: I20050621000354
Medical Identifiers
Medical identifiers for Heidi Renee Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659486520 | NPI | - | NPPES |
02647932 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 321807 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Our Lady Of Lourdes Memorial Hospital Inc | 1254237779 | 223 |
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. Heidi Renee Wilson allows following entities to bill medicare on her behalf.
Entity Name | Our Lady Of Lourdes Memorial Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629087580 PECOS PAC ID: 1254237779 Enrollment ID: O20031208000366 |
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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. Heidi Renee 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 |
Heidi Renee Wilson, MD 722 W Water St, Elmira, NY 14905-2435 Ph: (607) 271-2050 | Heidi Renee Wilson, MD 100 John Roemmelt Dr, Horseheads, NY 14845-8301 Ph: (607) 739-0352 |
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