Donna Ridley Wilber Sr, PSYCHIATRIC MENTAL H is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Branchport, New York. Her current practice location is
4020 Belknap Hill Rd, Branchport, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 759-1085.
Donna Ridley Wilber Sr is licensed to practice in New York (license number F400342) 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 1073662763.
Provider's Profile
Full Name | Donna Ridley Wilber Sr |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 4020 Belknap Hill Rd, Branchport, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073662763
- Provider Enumeration Date: 01/10/2007
- Last Update Date: 05/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 5597053678
- Enrollment ID: I20161005000139
Medical Identifiers
Medical identifiers for Donna Ridley Wilber Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073662763 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | F4008421 (New York) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F400342 (New York) | 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. Donna Ridley Wilber Sr allows following entities to bill medicare on her behalf.
Entity Name | Penfield Psychiatry Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649544115 PECOS PAC ID: 2365693264 Enrollment ID: O20121126000531 |
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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. Donna Ridley Wilber Sr 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 |
Donna Ridley Wilber Sr, PSYCHIATRIC MENTAL H 4020 Belknap Hill Rd, Branchport, NY 14418-9510 Ph: (315) 759-1085 | Donna Ridley Wilber Sr, PSYCHIATRIC MENTAL H 4020 Belknap Hill Rd, Branchport, NY 14418-9510 Ph: (315) 759-1085 |
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