Kim Dittis Wilson, NP - Medicare Nurse Practitioner in Jackson, MI

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Kim Dittis Wilson, NP is a medicare enrolled "Nurse Practitioner" in Jackson, Michigan. Her current practice location is 900 E Michigan Ave Ste 105, Jackson, Michigan. You can reach out to her office (for appointments etc.) via phone at (517) 782-3190.

Kim Dittis Wilson is licensed to practice in Michigan (license number 4704131316) 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 1134169311.

Contact Information

Kim Dittis Wilson, NP
900 E Michigan Ave Ste 105,
Jackson, MI 49201-2490
(517) 782-3190
(517) 782-1223

Map and Direction




Provider's Profile

Full NameKim Dittis Wilson
GenderFemale
SpecialityNurse Practitioner
Location900 E Michigan Ave Ste 105, Jackson, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134169311
  • Provider Enumeration Date: 06/07/2006
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1557315173
  • Enrollment ID: I20050308000119

Medical Identifiers

Medical identifiers for Kim Dittis Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134169311NPI-NPPES
500017755OtherMIRR MEIDCARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 4704131316 (Michigan)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. Kim Dittis Wilson allows following entities to bill medicare on her behalf.
Entity NameW.a. Foote Memorial Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629000708
PECOS PAC ID: 0244136067
Enrollment ID: O20040612000395
Entity NamePulmonary Clinics Of Southern Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992818207
PECOS PAC ID: 4284681784
Enrollment ID: O20050406001085

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. Kim Dittis 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
Kim Dittis Wilson, NP
900 E Michigan Ave, Ste 105,
Jackson, MI 49201-2490

Ph: (517) 782-3190		Kim Dittis Wilson, NP
900 E Michigan Ave Ste 105,
Jackson, MI 49201-2490

Ph: (517) 782-3190

Reviews and Comments


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Phone: 517-879-1007    Fax: 888-828-8679
Mrs. Sandra Kay Raby, GNP-BC
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Practice Location: 100 E Michigan Ave Ste 102, Jackson, MI 49201
Phone: 517-205-1731    Fax: 517-205-7649

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.