Eva Dominie Wilson, in Minneapolis, MN - Medicare Nurse Practitioner

Eva Dominie Wilson, is a medicare enrolled "Nurse Practitioner - Gerontology" in Minneapolis, Minnesota. Her current practice location is 3433 Broadway St Ne Ste 300, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 587-7737.

Eva Dominie Wilson is licensed to practice in Minnesota (license number 8244) 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 1063084127.

Contact Information

	Eva Dominie Wilson,
	3433 Broadway St Ne Ste 300, Minneapolis, MN 55413-1761
	(763) 587-7737
	(763) 587-7069

Map and Direction

Provider's Profile

Full Name	Eva Dominie Wilson
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	3433 Broadway St Ne Ste 300, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063084127
Provider Enumeration Date: 07/16/2021
Last Update Date: 05/21/2024

Medicare PECOS Information:

PECOS PAC ID: 4385089911
Enrollment ID: I20240305001525

Medical Identifiers

Medical identifiers for Eva Dominie Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063084127	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	8244 (Minnesota)	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. Eva Dominie Wilson allows following entities to bill medicare on her behalf.

Entity Name	Geriatric Services Of Minnesota Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093131419 PECOS PAC ID: 2365667557 Enrollment ID: O20140701002173

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. Eva Dominie 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
Eva Dominie Wilson, 8198 Palmgren Ave Ne, Otsego, MN 55330-7224 Ph: () -	Eva Dominie Wilson, 3433 Broadway St Ne Ste 300, Minneapolis, MN 55413-1761 Ph: (763) 587-7737

Reviews and Comments

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Eva Dominie Wilson, - Medicare Nurse Practitioner in Minneapolis, MN