Ms Mary Deborah Wilson, PMHNP-BC in Berlin, MD

Ms Mary Deborah Wilson, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Berlin, Maryland. Her current practice location is 11022 Nicholas Ln, Unit 2 Suite 1, Berlin, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 641-5190.

Ms Mary Deborah Wilson is licensed to practice in Maryland (license number R056757) 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 1306051313.

Contact Information

	Ms Mary Deborah Wilson, PMHNP-BC
	11022 Nicholas Ln, Unit 2 Suite 1, Berlin, MD 21811-3353
	(410) 641-5190
	(410) 641-5463

Map and Direction

Provider's Profile

Full Name	Ms Mary Deborah Wilson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	11022 Nicholas Ln, Berlin, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306051313
Provider Enumeration Date: 05/12/2007
Last Update Date: 06/12/2020

Medicare PECOS Information:

PECOS PAC ID: 2264580968
Enrollment ID: I20090507000444

Medical Identifiers

Medical identifiers for Ms Mary Deborah Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306051313	NPI	-	NPPES
609550001	Medicaid	MD
517251	Other	MD	OPTUM
346646	Other	MD	MANAGED HEALTH NET/TRICARE
259147-000	Other	MD	MAGELLAN BEHAVIORAL HEALTH
609550004	Medicaid	MD
499188	Other	MD	BEACON HEALTH OPTIONS
609550002	Medicaid	MD
7840093	Other	MD	AETNA
R968	Other	MD	CAREFIRST OF MARYLAND

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R056757 (Maryland)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	R056757 (Maryland)	Secondary
364SP0809X	Clinical Nurse Specialist - Psychiatric/mental Health, Adult	R056757 (Maryland)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R056757 (Maryland)	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. Ms Mary Deborah Wilson allows following entities to bill medicare on her behalf.

Entity Name	Eastern Shore Psychological Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881781508 PECOS PAC ID: 5294729950 Enrollment ID: O20040414000564

Entity Name	Associated Behavioral Health Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215448998 PECOS PAC ID: 1951660224 Enrollment ID: O20180111002034

Entity Name	Brightside Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230526001102

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 Mary Deborah 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
Ms Mary Deborah Wilson, PMHNP-BC 11022 Nicholas Ln, Unit 2 Suite 1, Berlin, MD 21811-3352 Ph: (410) 641-5190	Ms Mary Deborah Wilson, PMHNP-BC 11022 Nicholas Ln, Unit 2 Suite 1, Berlin, MD 21811-3353 Ph: (410) 641-5190

Reviews and Comments

Nurse Practitioner Nurses in Berlin, MD

Pennie Dalton Savage, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9715 Healthway Dr, Berlin, MD 21811 Phone: 410-548-2343 Fax: 844-332-3891
John A Hancock, CRNP, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9715 Healthway Dr, Berlin, MD 21811 Phone: 410-548-2343 Fax: 844-332-3891
Lisa H Bayles, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10231 Old Ocean City Blvd, Suite 210, Berlin, MD 21811 Phone: 410-629-6870 Fax: 410-641-3140
Tracey Wooden, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9733 Healthway Dr, Berlin, MD 21811 Phone: 410-629-6886
Mrs. Leslie Ann Lake, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9858 Shore Break Ln Apt 311, Berlin, MD 21811 Phone: 912-689-9322
Dr. Jordan Pearson Braniff, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11101 Cathage Rd, Berlin, MD 21811 Phone: 410-912-6104
Ms. Julianne Judge Mcbride, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 314 Franklin Ave Ste 103, Berlin, MD 21811 Phone: 443-513-4231

Ms Mary Deborah Wilson, PMHNP-BC - Medicare Nurse Practitioner in Berlin, MD