Carmen Marie Wilson, is a
Counselor - Addiction (substance Use Disorder) based in Moorhead, Minnesota. Carmen Marie Wilson is licensed to practice in Minnesota (license number 302876) and her current practice location is
725 Center Ave, Moorhead, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(507) 720-7775.
NPI number for Carmen Marie Wilson is 1740874536 and her current mailing address is Po Box 128, Pillager, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740874536.
Provider's Profile
| Full Name | Carmen Marie Wilson |
|---|
| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 725 Center Ave, Moorhead, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1740874536
- Provider Enumeration Date: 02/23/2021
- Last Update Date: 02/23/2021
Medical Identifiers
Medical identifiers for Carmen Marie Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740874536 | NPI | - | NPPES |
| 1444799 | Other | MN | MN DHS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WA0400X | Registered Nurse - Addiction (substance Use Disorder) | 2467908 (Minnesota) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 302876 (Minnesota) | Primary |
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. Carmen Marie Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Carmen Marie Wilson,
Po Box 128,
Pillager, MN 56473-0128
Ph: (507) 720-7775 | Carmen Marie Wilson,
725 Center Ave,
Moorhead, MN 56560-1958
Ph: (507) 720-7775 |
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