Ms Lydia Kay Wilson, GNP - Medicare Nurse Practitioner in Reseda, CA

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Ms Lydia Kay Wilson, GNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Reseda, California. She graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Romeo L Isidro Md Inc and her current practice location is 18855 Victory Blvd, Attn: Billing Department, Reseda, California. You can reach out to her office (for appointments etc.) via phone at (818) 774-3354.

Ms Lydia Kay Wilson is licensed to practice in California (license number 513626) 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 1093729824.

Contact Information

Ms Lydia Kay Wilson, GNP
18855 Victory Blvd, Attn: Billing Department,
Reseda, CA 91335-6445
(818) 774-3354
(818) 757-4401

Map and Direction




Provider's Profile

Full NameMs Lydia Kay Wilson
GenderFemale
SpecialityNurse Practitioner
Experience24 Years
Location18855 Victory Blvd, Reseda, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Lydia Kay Wilson graduated from nursing school in 2000
  NPI Data:
  • NPI Number: 1093729824
  • Provider Enumeration Date: 07/28/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7012914039
  • Enrollment ID: I20061103000197

Medical Identifiers

Medical identifiers for Ms Lydia Kay Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093729824NPI-NPPES
11725OtherCAN.P. FURNISHING
513626OtherCASTATE LICENSE #
P00705925OtherCARAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 513626 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Romeo L Isidro Md Inc10524812152

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 Lydia Kay Wilson allows following entities to bill medicare on her behalf.
Entity NameGn Medical Associates, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275576522
PECOS PAC ID: 5092605816
Enrollment ID: O20040316001465
Entity NameRomeo L Isidro Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467484576
PECOS PAC ID: 1052481215
Enrollment ID: O20080530000753
Entity NameLakeside Medical Organization A Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831426642
PECOS PAC ID: 7618005166
Enrollment ID: O20100505000015

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 Lydia Kay 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 Lydia Kay Wilson, GNP
17075 Devonshire St, Ste 204,
Northridge, CA 91325-5408

Ph: (818) 368-8929		Ms Lydia Kay Wilson, GNP
18855 Victory Blvd, Attn: Billing Department,
Reseda, CA 91335-6445

Ph: (818) 774-3354

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.