Mrs Mary Jane Lim Wilson, FNP in West Covina, CA

Mrs Mary Jane Lim Wilson, FNP is a medicare enrolled "Nurse Practitioner - Family" in West Covina, California. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Emanate Health Medical Care Foundation and her current practice location is 1705 Aspen Village Way, West Covina, California. You can reach out to her office (for appointments etc.) via phone at (626) 918-3042.

Mrs Mary Jane Lim Wilson is licensed to practice in California (license number 22483) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467896753.

Contact Information

	Mrs Mary Jane Lim Wilson, FNP
	1705 Aspen Village Way, West Covina, CA 91791-3105
	(626) 918-3042
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Mary Jane Lim Wilson
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	1705 Aspen Village Way, West Covina, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Mary Jane Lim Wilson graduated from nursing school in 2012

NPI Data:

NPI Number: 1467896753
Provider Enumeration Date: 04/17/2013
Last Update Date: 09/12/2013

Medicare PECOS Information:

PECOS PAC ID: 6800220989
Enrollment ID: I20191224000208

Medical Identifiers

Medical identifiers for Mrs Mary Jane Lim Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467896753	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	22483 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Emanate Health Foothill Presbyterian Hospital	Glendora, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Emanate Health Medical Care Foundation	9830544980	67

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 Mary Jane Lim Wilson allows following entities to bill medicare on her behalf.

Entity Name	Healthcare Partners Affiliates Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258

Entity Name	Emanate Health Medical Care Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467195073 PECOS PAC ID: 9830544980 Enrollment ID: O20231011003976

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 Mary Jane Lim 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
Mrs Mary Jane Lim Wilson, FNP 1705 Aspen Village Way, West Covina, CA 91791-3105 Ph: (626) 918-3042	Mrs Mary Jane Lim Wilson, FNP 1705 Aspen Village Way, West Covina, CA 91791-3105 Ph: (626) 918-3042

Reviews and Comments

Nurse Practitioner Nurses in West Covina, CA

Mrs. Claire Marie Tabares, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1115 S Sunset Ave, West Covina, CA 91790 Phone: 626-814-2547
Moses Ewo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 933 S Sunset Ave Ste 105, West Covina, CA 91790 Phone: 714-709-3154
Jettele Joy D Lara, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1135 S Sunset Ave Ste 401, West Covina, CA 91790 Phone: 626-732-8393
Caroline Matibag Caspe, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 S Sunset Ave, West Covina, CA 91790 Phone: 626-960-6999 Fax: 626-960-5246
Ms. Shylee Bautista Tiamson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Barranca St # 900-j, West Covina, CA 91791 Phone: 310-292-0117
Mrs. Evangeline Baquiran Pelaez, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Barranca St Ste 900, West Covina, CA 91791 Phone: 626-206-0523 Fax: 626-206-0553
Jacqueline Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 S. Glendora Ave, West Covina, CA 91790 Phone: 616-250-5247

Mrs Mary Jane Lim Wilson, FNP - Medicare Nurse Practitioner in West Covina, CA