Bethany Wickson, CNP in Detroit, MI - Medicare Nurse Practitioner

Bethany Wickson, CNP is a medicare enrolled "Nurse Practitioner" in Detroit, Michigan. Her current practice location is 4201 Saint Antoine St, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 745-3000.

Bethany Wickson is licensed to practice in Michigan (license number 4704088774) 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 1518087352.

Contact Information

	Bethany Wickson, CNP
	4201 Saint Antoine St, Detroit, MI 48201-2153
	(313) 745-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Bethany Wickson
Gender	Female
Speciality	Nurse Practitioner
Location	4201 Saint Antoine St, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518087352
Provider Enumeration Date: 03/29/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6002054798
Enrollment ID: I20130812000707

Medical Identifiers

Medical identifiers for Bethany Wickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518087352	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704088774 (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. Bethany Wickson allows following entities to bill medicare on her behalf.

Entity Name	Vhs Physicians Of Michigan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073827101 PECOS PAC ID: 8921289760 Enrollment ID: O20110225000849

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. Bethany Wickson 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
Bethany Wickson, CNP 4201 St Antoine Uhc 4b, Detroit, MI 48201 Ph: (313) 745-0937	Bethany Wickson, CNP 4201 Saint Antoine St, Detroit, MI 48201-2153 Ph: (313) 745-3000

Reviews and Comments

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Bethany Wickson, CNP - Medicare Nurse Practitioner in Detroit, MI