Austin Wilson, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in East Lansing, Michigan. His current practice location is
1355 Bogue St, East Lansing, Michigan. You can reach out to his office (for appointments etc.) via phone at
(800) 605-6424.
Austin Wilson is licensed to practice in Michigan (license number 4704329076) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770286460.
Provider's Profile
| Full Name | Austin Wilson |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 1355 Bogue St, East Lansing, Michigan |
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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: 1770286460
- Provider Enumeration Date: 03/23/2023
- Last Update Date: 05/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 8921539479
- Enrollment ID: I20241008001931
Medical Identifiers
Medical identifiers for Austin Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770286460 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 4704329076 (Michigan) | 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. Austin Wilson allows following entities to bill medicare on his behalf.
| Entity Name | Edward W Sparrow Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366498107
PECOS PAC ID: 6709799166
Enrollment ID: O20040311001138 |
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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. Austin 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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Austin Wilson,
1355 Bogue St,
East Lansing, MI 48824-6207
Ph: () - | Austin Wilson,
1355 Bogue St,
East Lansing, MI 48824-6207
Ph: (800) 605-6424 |
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