Mrs Lavona Constancia Wilson, NP - Medicare Nurse Practitioner in Ringgold, GA

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Mrs Lavona Constancia Wilson, NP is a medicare enrolled "Nurse Practitioner - Family" in Ringgold, Georgia. Her current practice location is 6120 Alabama Hwy, Ringgold, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 935-6442.

Mrs Lavona Constancia Wilson is licensed to practice in Georgia (license number RN208918) 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 1245677806.

Contact Information

Mrs Lavona Constancia Wilson, NP
6120 Alabama Hwy,
Ringgold, GA 30736-2804
(706) 935-6442
(706) 935-6441

Map and Direction




Provider's Profile

Full NameMrs Lavona Constancia Wilson
GenderFemale
SpecialityNurse Practitioner - Family
Location6120 Alabama Hwy, Ringgold, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245677806
  • Provider Enumeration Date: 05/22/2013
  • Last Update Date: 08/15/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4385878222
  • Enrollment ID: I20131009001099

Medical Identifiers

Medical identifiers for Mrs Lavona Constancia Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245677806NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN208918 (Georgia)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. Mrs Lavona Constancia Wilson allows following entities to bill medicare on her behalf.
Entity NameSouthside Medical Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235123993
PECOS PAC ID: 6901700723
Enrollment ID: O20031212000357
Entity Name24 On Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912956251
PECOS PAC ID: 5698688141
Enrollment ID: O20031216000444
Entity NameThe Bortolazzo Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801965082
PECOS PAC ID: 3476554320
Enrollment ID: O20070122000015
Entity NameUrgent Care Travel Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275982027
PECOS PAC ID: 4183861966
Enrollment ID: O20170208000489
Entity NameCommunity Holistic Advanced Practice Nurses Chapn Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992253322
PECOS PAC ID: 9830476795
Enrollment ID: O20170501002536

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. Mrs Lavona Constancia 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
Mrs Lavona Constancia Wilson, NP
467 Kelly St Se,
Atlanta, GA 30312-3006

Ph: (301) 717-5997		Mrs Lavona Constancia Wilson, NP
6120 Alabama Hwy,
Ringgold, GA 30736-2804

Ph: (706) 935-6442

Reviews and Comments


Nurse Practitioner Nurses in Ringgold, GA

Geneva Marie Record, NP
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Phone: 706-861-4990    Fax: 706-861-9405
Sandra Ann Martin, FNP-BC
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Phone: 706-935-5437    Fax: 706-935-3004
Rachel Krumrie,
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Practice Location: 132 Battlefield Crossing Ct, Ringgold, GA 30736
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Mrs. Patricia Annette Barrett, FNP-BC
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Medicare: Medicare Enrolled
Practice Location: 6120 Alabama Hwy, Ringgold, GA 30736
Phone: 706-935-6442    Fax: 706-935-6441
Heather English,
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Practice Location: 145 Catoosa Cir, Ringgold, GA 30736
Phone: 706-406-2000    
Heather Lacey Tinker, FNP-C
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Medicare: Medicare Enrolled
Practice Location: 6120 Alabama Hwy, Ringgold, GA 30736
Phone: 706-395-6442    

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.