Patricia J Wilson, CNM is a medicare enrolled "Advanced Practice Midwife" in Kingsport, Tennessee. She graduated from nursing school in 1984 and has 40 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice State Of Franklin Healthcare Associates, Pllc and her current practice location is
2002 Brookside Dr, Suite 300, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 392-6370.
Patricia J Wilson is licensed to practice in Tennessee (license number 12895) 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 1922063247.
Provider's Profile
| Full Name | Patricia J Wilson |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 40 Years |
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| Location | 2002 Brookside Dr, Kingsport, Tennessee |
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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:
- Patricia J Wilson graduated from nursing school in 1984
NPI Data:
- NPI Number: 1922063247
- Provider Enumeration Date: 04/19/2006
- Last Update Date: 03/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 4385633502
- Enrollment ID: I20200706000171
Medical Identifiers
Medical identifiers for Patricia J Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922063247 | NPI | - | NPPES |
| 1532284 | Medicaid | TN | |
| 1922063247 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LW0102X | Nurse Practitioner - Women's Health | RN78573 (Tennessee) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | 12895 (Tennessee) | Secondary |
| 367A00000X | Advanced Practice Midwife | 12895 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| State Of Franklin Healthcare Associates, Pllc | 2466346291 | 247 |
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. Patricia J Wilson allows following entities to bill medicare on her behalf.
| Entity Name | Blue Ridge Medical Management Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144380833
PECOS PAC ID: 9739099441
Enrollment ID: O20031204000996 |
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| Entity Name | State Of Franklin Healthcare Associates, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063459410
PECOS PAC ID: 2466346291
Enrollment ID: O20040211001101 |
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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. Patricia J 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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Patricia J Wilson, CNM
215 E Springbrook Dr,
Johnson City, TN 37601-1761
Ph: (423) 530-7900 | Patricia J Wilson, CNM
2002 Brookside Dr, Suite 300,
Kingsport, TN 37660-4634
Ph: (423) 392-6370 |
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