Ms Kelley Geddis Wilson, CNP - Medicare Nurse Practitioner in Detroit, MI

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Ms Kelley Geddis Wilson, CNP is a medicare enrolled "Nurse Practitioner" in Detroit, Michigan. Her current practice location is 4100 John R St, Karmanos Cancer Center Midlevels, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (800) 527-6266.

Ms Kelley Geddis Wilson is licensed to practice in Michigan (license number 4704185213) 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 1508085531.

Contact Information

Ms Kelley Geddis Wilson, CNP
4100 John R St, Karmanos Cancer Center Midlevels,
Detroit, MI 48201-2013
(800) 527-6266
(313) 576-8381

Map and Direction




Provider's Profile

Full NameMs Kelley Geddis Wilson
GenderFemale
SpecialityNurse Practitioner
Location4100 John R St, Detroit, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508085531
  • Provider Enumeration Date: 04/25/2007
  • Last Update Date: 07/29/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7911007489
  • Enrollment ID: I20070712000577

Medical Identifiers

Medical identifiers for Ms Kelley Geddis Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508085531NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 4704185213 (Michigan)Primary
363LF0000XNurse Practitioner - Family 4704185213 (Michigan)Secondary

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. Ms Kelley Geddis Wilson allows following entities to bill medicare on her behalf.
Entity NameBarbara Ann Karmanos Cancer Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225022288
PECOS PAC ID: 3870407901
Enrollment ID: O20031113000601
Entity NameUniversity Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447299797
PECOS PAC ID: 8628087681
Enrollment ID: O20060419000518

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. Ms Kelley Geddis 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
Ms Kelley Geddis Wilson, CNP
1560 E Maple Rd, Ste 400,
Troy, MI 48083-1138

Ph: (800) 527-6266		Ms Kelley Geddis Wilson, CNP
4100 John R St, Karmanos Cancer Center Midlevels,
Detroit, MI 48201-2013

Ph: (800) 527-6266

Reviews and Comments


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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.