Mrs Summer Rhiannon Wilson, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Long Island, New York. She graduated from nursing school in 2005 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lee Side Wellness Associates, Llc and her current practice location is
31-00 47th Avenue Ste 3100, Long Island, New York. You can reach out to her office (for appointments etc.) via phone at
(888) 684-2779.
Mrs Summer Rhiannon Wilson is licensed to practice in New York (license number F403012) 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 1285827949.
Provider's Profile
| Full Name | Mrs Summer Rhiannon Wilson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 20 Years |
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| Location | 31-00 47th Avenue Ste 3100, Long Island, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Summer Rhiannon Wilson graduated from nursing school in 2005
NPI Data:
- NPI Number: 1285827949
- Provider Enumeration Date: 08/24/2007
- Last Update Date: 11/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 8022491489
- Enrollment ID: I20220817002138
Medical Identifiers
Medical identifiers for Mrs Summer Rhiannon Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285827949 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F403012 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lee Side Wellness Associates, Llc | 4587934823 | 10 |
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 Summer Rhiannon Wilson allows following entities to bill medicare on her behalf.
| Entity Name | Lee Side Wellness Associates, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841731510
PECOS PAC ID: 4587934823
Enrollment ID: O20170719003872 |
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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 Summer Rhiannon 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 |
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Mrs Summer Rhiannon Wilson, PMHNP-BC
31-00 47th Avenue Suite 3100,
Long Island City, NY 11101-3013
Ph: (888) 684-2779 | Mrs Summer Rhiannon Wilson, PMHNP-BC
31-00 47th Avenue Ste 3100,
Long Island, NY 11101-3013
Ph: (888) 684-2779 |
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