Angela Wilson, is a medicare enrolled "Clinic/center - Primary Care" in Norwalk, Connecticut. Her current practice location is
761 Main Ave, Norwalk, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 229-2000.
Angela Wilson is licensed to practice in Connecticut (license number 003267) 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 1659782134.
Provider's Profile
| Full Name | Angela Wilson |
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| Gender | Female |
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| Speciality | Clinic/center - Primary Care |
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| Location | 761 Main Ave, Norwalk, Connecticut |
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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: 1659782134
- Provider Enumeration Date: 05/18/2014
- Last Update Date: 12/01/2020
Medicare PECOS Information:
- PECOS PAC ID: 9638586282
- Enrollment ID: I20210325002382
Medical Identifiers
Medical identifiers for Angela Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1659782134 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 003267 (Connecticut) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 003267 (Connecticut) | 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. Angela Wilson allows following entities to bill medicare on her behalf.
| Entity Name | Jewish Family Services Of Greenwich Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740450543
PECOS PAC ID: 2062497001
Enrollment ID: O20040623000142 |
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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. Angela 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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Angela Wilson,
761 Main Ave,
Norwalk, CT 06851-1080
Ph: (203) 229-2000 | Angela Wilson,
761 Main Ave,
Norwalk, CT 06851-1080
Ph: (203) 229-2000 |
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