Loretta Eve Wilson, FNP - Medicare Nurse Practitioner in Van, TX

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Loretta Eve Wilson, FNP is a medicare enrolled "Nurse Practitioner" in Van, Texas. Her current practice location is 488 W. Main Street, Ste 101, Van, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 963-6850.

Loretta Eve Wilson is licensed to practice in Texas (license number AP121117) 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 1780952580.

Contact Information

Loretta Eve Wilson, FNP
488 W. Main Street, Ste 101,
Van, TX 75790-2608
(903) 963-6850
(903) 509-5835

Map and Direction




Provider's Profile

Full NameLoretta Eve Wilson
GenderFemale
SpecialityNurse Practitioner
Location488 W. Main Street, Van, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780952580
  • Provider Enumeration Date: 12/07/2011
  • Last Update Date: 03/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5698937191
  • Enrollment ID: I20120430000279

Medical Identifiers

Medical identifiers for Loretta Eve Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780952580NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner AP121117 (Texas)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. Loretta Eve Wilson allows following entities to bill medicare on her behalf.
Entity NameEast Texas Medical Center Healthcare Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124062484
PECOS PAC ID: 3678486222
Enrollment ID: O20031114000152
Entity NameEtmc Physician Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609382662
PECOS PAC ID: 4486915600
Enrollment ID: O20180305002106
Entity NameInnate Medical Solutions Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902266539
PECOS PAC ID: 9032461561
Enrollment ID: O20181011001705
Entity NameVan Family Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386306108
PECOS PAC ID: 7113314402
Enrollment ID: O20220505001669

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. Loretta Eve 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
Loretta Eve Wilson, FNP
488 W. Main Street, Ste 101,
Van, TX 75790-2608

Ph: (903) 963-6850		Loretta Eve Wilson, FNP
488 W. Main Street, Ste 101,
Van, TX 75790-2608

Ph: (903) 963-6850

Reviews and Comments


Nurse Practitioner Nurses in Van, TX

Ms. Gina Maria Blount, RN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 113 W Main St, Van, TX 75790
Phone: 903-963-8303    Fax: 903-963-5863

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.