Constance Wilkerson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Walnut Grove, Mississippi. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Baptist Medical Center-leake, Inc. and her current practice location is
110 Park St, Walnut Grove, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 253-0173.
Constance Wilkerson is licensed to practice in Mississippi (license number R885749) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295106326.
Provider's Profile
| Full Name | Constance Wilkerson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 110 Park St, Walnut Grove, Mississippi |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Constance Wilkerson graduated from nursing school in 2015
NPI Data:
- NPI Number: 1295106326
- Provider Enumeration Date: 10/15/2015
- Last Update Date: 03/07/2018
Medicare PECOS Information:
- PECOS PAC ID: 9739480104
- Enrollment ID: I20151209002255
Medical Identifiers
Medical identifiers for Constance Wilkerson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295106326 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | R885749 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Baptist Medical Center-leake, Inc. | 7214102961 | 14 |
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. Constance Wilkerson allows following entities to bill medicare on her behalf.
| Entity Name | Baptist Medical Center-leake, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356626618
PECOS PAC ID: 7214102961
Enrollment ID: O20120112000444 |
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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. Constance Wilkerson 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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Constance Wilkerson, FNP
965 Ridge Lake Blvd Ste 103,
Memphis, TN 38120-9446
Ph: (901) 227-3255 | Constance Wilkerson, FNP
110 Park St,
Walnut Grove, MS 39189-6526
Ph: (601) 253-0173 |
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