Ellen Louise Wilson, RN, CCM is a
Registered Nurse - Case Management based in Dayville, Connecticut. Ellen Louise Wilson is licensed to practice in Connecticut (license number 081384) and her current practice location is
620 Chestnut Hill Rd, Dayville, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 234-1310.
NPI number for Ellen Louise Wilson is 1255006797 and her current mailing address is Po Box 792, 620 Chestnut Hill Rd, Dayville, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255006797.
Provider's Profile
Full Name | Ellen Louise Wilson |
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Gender | Female |
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Speciality | Registered Nurse - Case Management |
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Location | 620 Chestnut Hill Rd, Dayville, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255006797
- Provider Enumeration Date: 08/16/2021
- Last Update Date: 08/16/2021
Medical Identifiers
Medical identifiers for Ellen Louise Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255006797 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 081384 (Connecticut) | Secondary |
163WH0200X | Registered Nurse - Home Health | 081384 (Connecticut) | Secondary |
163WC0400X | Registered Nurse - Case Management | 081384 (Connecticut) | Primary |
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. Ellen Louise Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ellen Louise Wilson, RN, CCM Po Box 792, 620 Chestnut Hill Rd, Dayville, CT 06241 Ph: (860) 234-1310 | Ellen Louise Wilson, RN, CCM 620 Chestnut Hill Rd, Dayville, CT 06241 Ph: (860) 234-1310 |
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