Marlene Mary Wilson, FNP in Indianapolis, IN - Medicare Nurse Practitioner

Marlene Mary Wilson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Indianapolis, Indiana. Her current practice location is 6745 Gray Rd Ste D, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 859-1090.

Marlene Mary Wilson is licensed to practice in Indiana (license number 71000629A) 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 1013062009.

Contact Information

	Marlene Mary Wilson, FNP
	6745 Gray Rd Ste D, Indianapolis, IN 46237-3236
	(317) 859-1090
	(317) 941-7254

Map and Direction

Provider's Profile

Full Name	Marlene Mary Wilson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	6745 Gray Rd Ste D, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013062009
Provider Enumeration Date: 01/23/2007
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 1951321520
Enrollment ID: I20210611002584

Medical Identifiers

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

Identifier	Type	State	Issuer
1013062009	NPI	-	NPPES
000000545372	Other	IN	ANTHEM
28086560A	Other	IN	RN LICENSE
000000033846	Other	IN	M PLAN
P00303828	Other	IN	RAILROAD MEDICARE
11533126	Other	IN	CAQH
71000629B	Other	IN	CSR
200509870	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71000629A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	71000629A (Indiana)	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. Marlene Mary Wilson allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191118000551

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. Marlene Mary 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
Marlene Mary Wilson, FNP Po Box 100, Beech Grove, IN 46107-0100 Ph: (317) 859-1090	Marlene Mary Wilson, FNP 6745 Gray Rd Ste D, Indianapolis, IN 46237-3236 Ph: (317) 859-1090

Reviews and Comments

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Mrs. Renee Marie Burkhart, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7825 Mcfarland Ln, Suite A, Indianapolis, IN 46237 Phone: 317-887-5500 Fax: 317-887-4806
Emily Kelly Koffel, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8330 Naab Rd Ste 340, Indianapolis, IN 46260 Phone: 317-338-5100
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Marlene Mary Wilson, FNP - Medicare Nurse Practitioner in Indianapolis, IN