Duane Lee Wilcox, NP is a medicare enrolled "Nurse Practitioner - Family" in Clarklake, Michigan. His current practice location is
8708 N Shore Dr, Clarklake, Michigan. You can reach out to his office (for appointments etc.) via phone at
(517) 529-3151.
Duane Lee Wilcox is licensed to practice in Michigan (license number 4704262470) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1356836233.
Provider's Profile
| Full Name | Duane Lee Wilcox |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 8708 N Shore Dr, Clarklake, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1356836233
- Provider Enumeration Date: 06/24/2018
- Last Update Date: 06/24/2018
Medicare PECOS Information:
- PECOS PAC ID: 8325382203
- Enrollment ID: I20181204000782
Medical Identifiers
Medical identifiers for Duane Lee Wilcox such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1356836233 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 4704262470 (Michigan) | 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. Duane Lee Wilcox allows following entities to bill medicare on his behalf.
| Entity Name | Michigan Post-acute Medical Services 1 Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669901567
PECOS PAC ID: 2163798877
Enrollment ID: O20171025001292 |
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| Entity Name | Mi Pacs 2 Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205418357
PECOS PAC ID: 2264831577
Enrollment ID: O20210518002473 |
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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. Duane Lee Wilcox 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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Duane Lee Wilcox, NP
8708 N Shore Dr,
Clarklake, MI 49234-9794
Ph: (517) 529-3151 | Duane Lee Wilcox, NP
8708 N Shore Dr,
Clarklake, MI 49234-9794
Ph: (517) 529-3151 |
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