Brooklyn Dallas Wilson, NP - Medicare Nurse Practitioner in Savannah, GA

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Brooklyn Dallas Wilson, NP is a medicare enrolled "Nurse Practitioner - Family" in Savannah, Georgia. Her current practice location is 11909 Mcauley Dr Ste 100a2, Savannah, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 354-8331.

Brooklyn Dallas Wilson is licensed to practice in Georgia (license number RN293708) 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 1831975879.

Contact Information

Brooklyn Dallas Wilson, NP
11909 Mcauley Dr Ste 100a2,
Savannah, GA 31419-1793
(912) 354-8331
(912) 352-9782

Map and Direction




Provider's Profile

Full NameBrooklyn Dallas Wilson
GenderFemale
SpecialityNurse Practitioner - Family
Location11909 Mcauley Dr Ste 100a2, Savannah, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1831975879
  • Provider Enumeration Date: 09/06/2023
  • Last Update Date: 12/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8527418474
  • Enrollment ID: I20231219002005

Medical Identifiers

Medical identifiers for Brooklyn Dallas Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831975879NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN293708 (Georgia)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. Brooklyn Dallas Wilson allows following entities to bill medicare on her behalf.
Entity NameSt. Joseph's Vascular Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164829883
PECOS PAC ID: 6305163650
Enrollment ID: O20150326001687

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. Brooklyn Dallas 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 AddressPractice Location Address
Brooklyn Dallas Wilson, NP
129 Arusha Ave,
Savannah, GA 31419-3194

Ph: (713) 294-9632		Brooklyn Dallas Wilson, NP
11909 Mcauley Dr Ste 100a2,
Savannah, GA 31419-1793

Ph: (912) 354-8331

Reviews and Comments


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Phone: 912-355-6005    Fax: 912-355-5643
Ms. Deborah Evelyn Kemp, APRN, BC
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Deanna M Wildes, RN, BSN
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Phone: 912-352-8346    Fax: 912-355-1414
Abegail Delez Xiang, NP
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Practice Location: 6301 Abercorn St, Savannah, GA 31405
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Jackie M Kehrli, FNP-BC
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Phone: 912-350-7412    Fax: 912-350-7297
Caroline Shealy Sauers, APRN, FNP-BC
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Practice Location: 6602 Waters Ave Bldg C, Savannah, GA 31406
Phone: 912-354-7676    Fax: 912-354-6040
Stacy Eagle, NP-C
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Medicare: Medicare Enrolled
Practice Location: 6602 Waters Ave, Savannah, GA 31406
Phone: 912-354-7676    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.