Douglas Van Wilson, CRNP in Lincoln, AL - Medicare Nurse Practitioner

Douglas Van Wilson, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Lincoln, Alabama. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Fast Pace Medical Clinic Pllc and his current practice location is 47344 Us Highway 78, Lincoln, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 763-7848.

Douglas Van Wilson is licensed to practice in Alabama (license number 1-107799) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407417538.

Contact Information

	Douglas Van Wilson, CRNP
	47344 Us Highway 78, Lincoln, AL 35096-6748
	(205) 763-7848
	Not Available

Map and Direction

Provider's Profile

Full Name	Douglas Van Wilson
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	47344 Us Highway 78, Lincoln, Alabama
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Douglas Van Wilson graduated from nursing school in 2019

NPI Data:

NPI Number: 1407417538
Provider Enumeration Date: 06/28/2019
Last Update Date: 06/28/2019

Medicare PECOS Information:

PECOS PAC ID: 8921339821
Enrollment ID: I20191007003709

Medical Identifiers

Medical identifiers for Douglas Van Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407417538	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-107799 (Alabama)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fast Pace Medical Clinic Pllc	5395881841	556

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. Douglas Van Wilson allows following entities to bill medicare on his behalf.

Entity Name	Baptist Health Centers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265496236 PECOS PAC ID: 3476457011 Enrollment ID: O20180124001442

Entity Name	Fast Pace Medical Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639679962 PECOS PAC ID: 5395881841 Enrollment ID: O20200415001560

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. Douglas Van 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 Address	Practice Location Address
Douglas Van Wilson, CRNP 1130 22nd St S Ste 1000, Birmingham, AL 35205-2881 Ph: () -	Douglas Van Wilson, CRNP 47344 Us Highway 78, Lincoln, AL 35096-6748 Ph: (205) 763-7848

Reviews and Comments

Nurse Practitioner Nurses in Lincoln, AL

Ariel Carpenter, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1800 Honda Dr, Lincoln, AL 35096 Phone: 205-355-6850
Amy C Ledbetter, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 47344 Us Highway 78, Lincoln, AL 35096 Phone: 205-763-7848
Christy Hill Fuller, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 47344 Us Highway 78, Lincoln, AL 35096 Phone: 205-763-7848 Fax: 205-763-7235
Misty Lawley Ralyea, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 47344 Us Highway 78, Lincoln, AL 35096 Phone: 205-763-7848 Fax: 205-763-7235
Brenda P Bynum, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 47344 Us Highway 78, Lincoln, AL 35096 Phone: 205-763-7848 Fax: 205-763-7235

Douglas Van Wilson, CRNP - Medicare Nurse Practitioner in Lincoln, AL