Mrs Lucy Nelson Wisdom, MD in Bloomington, IL

Mrs Lucy Nelson Wisdom, MD is a medicare enrolled "Dermatology" physician in Bloomington, Illinois. She went to Southern Illinois University School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Associates In Dermatology Sc and her current practice location is 1404 Eastland Drive, Suite 204, Bloomington, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 662-8813.

Mrs Lucy Nelson Wisdom is licensed to practice in Illinois (license number 036110740) 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 1669510400.

Contact Information

	Mrs Lucy Nelson Wisdom, MD
	1404 Eastland Drive, Suite 204, Bloomington, IL 61701
	(309) 662-8813
	(309) 662-6835

Map and Direction

Physician's Profile

Full Name	Mrs Lucy Nelson Wisdom
Gender	Female
Speciality	Dermatology
Experience	24 Years
Location	1404 Eastland Drive, Bloomington, Illinois
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:

Mrs Lucy Nelson Wisdom attended and graduated from Southern Illinois University School Of Medicine in 2000

NPI Data:

NPI Number: 1669510400
Provider Enumeration Date: 02/02/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1658357041
Enrollment ID: I20040626000078

Medical Identifiers

Medical identifiers for Mrs Lucy Nelson Wisdom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669510400	NPI	-	NPPES
036110740	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	036110740 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Associates In Dermatology Sc	8921084476	5

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. Mrs Lucy Nelson Wisdom allows following entities to bill medicare on her behalf.

Entity Name	Associates In Dermatology Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689863904 PECOS PAC ID: 8921084476 Enrollment ID: O20040625000943

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. Mrs Lucy Nelson Wisdom 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
Mrs Lucy Nelson Wisdom, MD 1404 Eastland Drive, Suite 204, Bloomington, IL 61701 Ph: (309) 662-8813	Mrs Lucy Nelson Wisdom, MD 1404 Eastland Drive, Suite 204, Bloomington, IL 61701 Ph: (309) 662-8813

Reviews and Comments

Dermatology Doctors in Bloomington, IL

Michael Thomas Ginnetti, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1015 S Mercer Ave Ste Gf7, Bloomington, IL 61701 Phone: 309-660-8442
Kent S. Taulbee, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2418 E Lincoln St, Bloomington, IL 61701 Phone: 309-663-6386 Fax: 309-662-7622
Mr. Rajagopala Swaminathan, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3024 E Empire St Ste Eandf, Bloomington, IL 61704 Phone: 309-451-3376 Fax: 309-452-3376
Joanne M Larow, DO Dermatology Medicare: May Accept Medicare Assignments Practice Location: 3302 Gerig Dr Ste 100, Bloomington, IL 61704 Phone: 309-533-7070 Fax: 855-710-6552
Mr. Thomas Richard Brander, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1404 Eastland Drive, Suite 204, Bloomington, IL 61701 Phone: 309-662-8813 Fax: 309-662-6835
Mr. James Richard Seehafer, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1404 Eastland Drive, Suite 204, Bloomington, IL 61701 Phone: 309-662-8813 Fax: 309-662-6835

Mrs Lucy Nelson Wisdom, MD - Medicare Dermatology in Bloomington, IL