Irene Wilson, FNP-C in Southaven, MS - Medicare Nurse Practitioner

Irene Wilson, FNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Southaven, Mississippi. Her current practice location is 75 Physicians Ln, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 393-7722.

Irene Wilson is licensed to practice in Mississippi (license number 902979) 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 1477021988.

Contact Information

	Irene Wilson, FNP-C
	75 Physicians Ln, Southaven, MS 38671-6102
	(662) 393-7722
	Not Available

Map and Direction

Provider's Profile

Full Name	Irene Wilson
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	75 Physicians Ln, Southaven, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477021988
Provider Enumeration Date: 11/02/2018
Last Update Date: 11/02/2018

Medicare PECOS Information:

PECOS PAC ID: 3274906987
Enrollment ID: I20230228001816

Medical Identifiers

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

Identifier	Type	State	Issuer
1477021988	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	902979 (Mississippi)	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. Irene Wilson allows following entities to bill medicare on her behalf.

Entity Name	Christ Community Health Services Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982686614 PECOS PAC ID: 3870402084 Enrollment ID: O20040528000468

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. Irene 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
Irene Wilson, FNP-C 481 Clarington Dr, Southaven, MS 38671-5638 Ph: (901) 486-0439	Irene Wilson, FNP-C 75 Physicians Ln, Southaven, MS 38671-6102 Ph: (662) 393-7722

Reviews and Comments

Nurse Practitioner Nurses in Southaven, MS

Mr. Nathaniel Levi Bump, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7900 Airways Blvd Ste 6, Southaven, MS 38671 Phone: 662-470-7549 Fax: 269-906-2006
Ms. Sherlean D Shugars, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2149 Stateline Rd W, Southaven, MS 38671 Phone: 662-342-1112
Penny Marie Holley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3964 Goodman Rd E Ste 128-129, Southaven, MS 38672 Phone: 662-655-0456 Fax: 662-655-0457
Christopher Gully, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 363 Southcrest Cir Ste 202, Southaven, MS 38671 Phone: 901-226-0456 Fax: 901-226-0458
Mrs. Christy Le Anne Egbert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620
Misty Burton, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 391 Southcrest Cir, Southaven, MS 38671 Phone: 662-349-2659
Rebecca Holly T Robertson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620

Irene Wilson, FNP-C - Medicare Nurse Practitioner in Southaven, MS