Kristal Lee Ann Wilson, MD - Medicare Interventional Pain Management in Louisville, KY

Kristal Lee Ann Wilson, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Louisville, Kentucky. She went to University Of Louisville School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Interventional Pain Management. Her current practice location is 10302 Brookridge Village Blvd Ste 103-104, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 276-5300.

Kristal Lee Ann Wilson is licensed to practice in Kentucky (license number 48792) 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 1578853602.

Contact Information

Kristal Lee Ann Wilson, MD
10302 Brookridge Village Blvd Ste 103-104,
Louisville, KY 40291-4475
(502) 276-5300
(502) 576-5376

Map and Direction




Physician's Profile

Full NameKristal Lee Ann Wilson
GenderFemale
SpecialityInterventional Pain Management
Experience13 Years
Location10302 Brookridge Village Blvd Ste 103-104, Louisville, Kentucky
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:
  • Kristal Lee Ann Wilson attended and graduated from University Of Louisville School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1578853602
  • Provider Enumeration Date: 04/11/2011
  • Last Update Date: 10/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9830403161
  • Enrollment ID: I20160810002831

Medical Identifiers

Medical identifiers for Kristal Lee Ann Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578853602NPI-NPPES
7100212070MedicaidKY
201298810MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208VP0014XPain Medicine - Interventional Pain Medicine 01084557A (Indiana)Secondary
208VP0014XPain Medicine - Interventional Pain Medicine 48792 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Norton Hospitals, IncLouisville, KYHospital

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. Kristal Lee Ann Wilson allows following entities to bill medicare on her behalf.
Entity NameInterventional Pain & Spine Specialists, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861182198
PECOS PAC ID: 4981036118
Enrollment ID: O20191108002414
Entity NamePain And Wellness Institute Of Kentucky Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336878909
PECOS PAC ID: 4880050418
Enrollment ID: O20230523003227

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. Kristal Lee Ann 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
Kristal Lee Ann Wilson, MD
10302 Brookridge Village Blvd Ste 103-104,
Louisville, KY 40291-4475

Ph: (502) 576-5300
Kristal Lee Ann Wilson, MD
10302 Brookridge Village Blvd Ste 103-104,
Louisville, KY 40291-4475

Ph: (502) 276-5300

Reviews and Comments


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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.