Dorthia D Wilson, NP - Medicare Nurse Practitioner in Kenosha, WI

  1. Home
  2. Nurse Practitioner
  3. WI
  4. Kenosha
Dorthia D Wilson, NP is a medicare enrolled "Nurse Practitioner" in Kenosha, Wisconsin. 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 Oak Medical Sc and her current practice location is 10400 75th St, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 948-7000.

Dorthia D Wilson is licensed to practice in Wisconsin (license number 6647) 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 1669838496.

Contact Information

Dorthia D Wilson, NP
10400 75th St,
Kenosha, WI 53142-7884
(262) 948-7000
(414) 385-4436

Map and Direction




Provider's Profile

Full NameDorthia D Wilson
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location10400 75th St, Kenosha, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dorthia D Wilson graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1669838496
  • Provider Enumeration Date: 01/09/2016
  • Last Update Date: 11/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8022314582
  • Enrollment ID: I20160309000814

Medical Identifiers

Medical identifiers for Dorthia D Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669838496NPI-NPPES
100054093MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 6647 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Agrace HospicecareMadison, WIHospice

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oak Medical Sc004259517587

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. Dorthia D Wilson allows following entities to bill medicare on her behalf.
Entity NameAscension Medical Group-southeast Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609881077
PECOS PAC ID: 8628980943
Enrollment ID: O20031104000421
Entity NameVpa Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659484657
PECOS PAC ID: 9234041948
Enrollment ID: O20040322000734
Entity NameMilwaukee Cardiac Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982625885
PECOS PAC ID: 9133280670
Enrollment ID: O20081203000115
Entity NameIah Of Wisconsin Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861898090
PECOS PAC ID: 1658696729
Enrollment ID: O20150212000235
Entity NameOak Medical Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669910345
PECOS PAC ID: 0042595175
Enrollment ID: O20170331001848
Entity NameMaple Medical Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487152104
PECOS PAC ID: 9032471248
Enrollment ID: O20180328002607

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. Dorthia D 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
Dorthia D Wilson, NP
3301 W Forest Home Ave,
Milwaukee, WI 53215-2843

Ph: (262) 948-7000		Dorthia D Wilson, NP
10400 75th St,
Kenosha, WI 53142-7884

Ph: (262) 948-7000

Reviews and Comments


Nurse Practitioner Nurses in Kenosha, WI

Mrs. Susan H. Pergande, WHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 10400 75th St, Kenosha, WI 53142
Phone: 262-948-6714    
Katherine Jean Tura Spencer-schuerman, NURSE PRACTITIONER
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 4536 22nd Ave, Kenosha, WI 53140
Phone: 262-565-0044    
Carly Worden, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2707 15th Pl, Kenosha, WI 53140
Phone: 262-551-2700    
Guadalupe Orlando Romero, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4777 88th Ave, Kenosha, WI 53144
Phone: 262-605-5253    Fax: 262-605-5903
Christine Marie Foster, APNP, RN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6525 Green Bay Rd, Ste. 2, Kenosha, WI 53142
Phone: 262-789-1191    Fax: 262-821-6180
Alejandra Moore, APNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7401 104th Ave Ste 110, Kenosha, WI 53142
Phone: 262-764-5595    Fax: 262-764-9314
Quentin R Kasuboski, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 10400 75th St, Aurora Medical Center, Kenosha, WI 53142
Phone: 262-697-7000    Fax: 630-734-1560

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.