Anastasia Desiree Wilson, APRN in Russellville, AR

Anastasia Desiree Wilson, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" in Russellville, Arkansas. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Bradley Bibb Md Pllc and her current practice location is 900 W 12th St, Russellville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 968-5858.

Anastasia Desiree Wilson is licensed to practice in Arkansas (license number A005985) 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 1295209500.

Contact Information

	Anastasia Desiree Wilson, APRN
	900 W 12th St, Russellville, AR 72801-6606
	(479) 968-5858
	(479) 890-6013

Map and Direction

Provider's Profile

Full Name	Anastasia Desiree Wilson
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	900 W 12th St, Russellville, Arkansas
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:

Anastasia Desiree Wilson graduated from nursing school in 2018

NPI Data:

NPI Number: 1295209500
Provider Enumeration Date: 01/20/2019
Last Update Date: 10/15/2021

Medicare PECOS Information:

PECOS PAC ID: 1759780547
Enrollment ID: I20210527001516

Medical Identifiers

Medical identifiers for Anastasia Desiree Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295209500	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	A005985 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Marys Regional Medical Center	Russellville, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bradley Bibb Md Pllc	4789715285	39

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. Anastasia Desiree Wilson allows following entities to bill medicare on her behalf.

Entity Name	Bradley Bibb Md Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699097436 PECOS PAC ID: 4789715285 Enrollment ID: O20100628000488

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. Anastasia Desiree 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
Anastasia Desiree Wilson, APRN 71 Crestridge Dr, Dover, AR 72837-8716 Ph: (479) 831-9530	Anastasia Desiree Wilson, APRN 900 W 12th St, Russellville, AR 72801-6606 Ph: (479) 968-5858

Reviews and Comments

Nurse Practitioner Nurses in Russellville, AR

Karen Michelle Branch, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2210 W Main St, Russellville, AR 72801 Phone: 479-968-8940 Fax: 479-968-8901
Ashley Mccoy, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 209 S Portland Ave, Russellville, AR 72801 Phone: 501-906-0000
Mrs. Ashley Nichole Bennett, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1808 W Main St, Russellville, AR 72801 Phone: 479-968-2841
Kristy Hogan, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 402 W O St, Dean Hall, Room 126, Russellville, AR 72801 Phone: 479-368-0329
Ms. Candace Darlene Welcher, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Skyline Dr, Russellville, AR 72801 Phone: 479-968-2345 Fax: 479-890-2467
Margaret Danielle Mullins-moats, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3812 W Main St., Russellville, AR 72801 Phone: 479-968-1245
Lindsey Sharp, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1808 W Main St, Russellville, AR 72801 Phone: 479-964-2198

Anastasia Desiree Wilson, APRN - Medicare Nurse Practitioner in Russellville, AR