Julene Maryann Wilson, CRNP in Philadelphia, PA

Julene Maryann Wilson, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Philadelphia, Pennsylvania. Her current practice location is 3509 N Broad St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 707-8484.

Julene Maryann Wilson is licensed to practice in Pennsylvania (license number SP011717) 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 1437435880.

Contact Information

	Julene Maryann Wilson, CRNP
	3509 N Broad St, Philadelphia, PA 19140-4105
	(215) 707-8484
	(215) 707-3946

Map and Direction

Provider's Profile

Full Name	Julene Maryann Wilson
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	3509 N Broad St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437435880
Provider Enumeration Date: 10/31/2011
Last Update Date: 04/24/2017

Medicare PECOS Information:

PECOS PAC ID: 0446408363
Enrollment ID: I20120919000354

Medical Identifiers

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

Identifier	Type	State	Issuer
1437435880	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	SP011717 (Pennsylvania)	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. Julene Maryann Wilson allows following entities to bill medicare on her behalf.

Entity Name	Temple Faculty Practice Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881176949 PECOS PAC ID: 0345588711 Enrollment ID: O20190208002623

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. Julene Maryann 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
Julene Maryann Wilson, CRNP 2450 W Hunting Park Ave, Philadelphia, PA 19129-1302 Ph: (215) 707-8484	Julene Maryann Wilson, CRNP 3509 N Broad St, Philadelphia, PA 19140-4105 Ph: (215) 707-8484

Reviews and Comments

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Julene Maryann Wilson, CRNP - Medicare Nurse Practitioner in Philadelphia, PA