Gloria J Wilson, CNP - Medicare Nurse Practitioner in Fairfield Township, OH

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Gloria J Wilson, CNP is a medicare enrolled "Nurse Practitioner - Family" in Fairfield Township, Ohio. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Alliance Physicians Inc, Kettering Independent Medical Group Inc and her current practice location is 5964 Golf Club Ln, Fairfield Township, Ohio. You can reach out to her office (for appointments etc.) via phone at (513) 893-1100.

Gloria J Wilson is licensed to practice in Ohio (license number COA12816NP) 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 1437420452.

Contact Information

Gloria J Wilson, CNP
5964 Golf Club Ln,
Fairfield Township, OH 45011-8224
(513) 893-1100
(513) 893-1128

Map and Direction




Provider's Profile

Full NameGloria J Wilson
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location5964 Golf Club Ln, Fairfield Township, Ohio
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:
  • Gloria J Wilson graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1437420452
  • Provider Enumeration Date: 01/23/2012
  • Last Update Date: 11/13/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8820257348
  • Enrollment ID: I20120301000838

Medical Identifiers

Medical identifiers for Gloria J Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437420452NPI-NPPES
0060292MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family COA12816NP (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fort Hamilton Hughes Memorial HospitalHamilton, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Alliance Physicians Inc0840104360318
Kettering Independent Medical Group Inc3173710936577

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. Gloria J Wilson allows following entities to bill medicare on her behalf.
Entity NameAlliance Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437125572
PECOS PAC ID: 0840104360
Enrollment ID: O20031118000529
Entity NameKettering Independent Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629387865
PECOS PAC ID: 3173710936
Enrollment ID: O20101207000425

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. Gloria J 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
Gloria J Wilson, CNP
5964 Golf Club Ln,
Fairfield Township, OH 45011-8224

Ph: (513) 893-1100		Gloria J Wilson, CNP
5964 Golf Club Ln,
Fairfield Township, OH 45011-8224

Ph: (513) 893-1100

Reviews and Comments


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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.