Noelle Josephine Wilson, BKIN, MSCPT, DPT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Chisago City, Minnesota. Her current practice location is
28210 Old Towne Rd, Chisago City, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 257-0575.
Noelle Josephine Wilson is licensed to practice in Minnesota (license number 4991) 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 1861100257.
Physician's Profile
| Full Name | Noelle Josephine Wilson |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 28210 Old Towne Rd, Chisago City, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1861100257
- Provider Enumeration Date: 11/14/2022
- Last Update Date: 11/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 8921539024
- Enrollment ID: I20240930003763
Medical Identifiers
Medical identifiers for Noelle Josephine Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861100257 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 4991 (Minnesota) | 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. Noelle Josephine Wilson allows following entities to bill medicare on her behalf.
| Entity Name | Select Rehabilitation Llc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1346368248
PECOS PAC ID: 9032020490
Enrollment ID: O20240920001517 |
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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. Noelle Josephine 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 |
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Noelle Josephine Wilson, BKIN, MSCPT, DPT
Po Box 393,
Cambridge, MN 55008-0393
Ph: (780) 938-5944 | Noelle Josephine Wilson, BKIN, MSCPT, DPT
28210 Old Towne Rd,
Chisago City, MN 55013-9556
Ph: (651) 257-0575 |
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