Robert J Wilson, FNP-BC is a medicare enrolled "Nurse Practitioner" in Harrison Twp, Michigan. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Mclaren Macomb and his current practice location is
39320 Hazel St, Harrison Twp, Michigan. You can reach out to his office (for appointments etc.) via phone at
(586) 260-6990.
Robert J Wilson is licensed to practice in Michigan (license number 4704231251) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801194436.
Provider's Profile
| Full Name | Robert J Wilson |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 14 Years |
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| Location | 39320 Hazel St, Harrison Twp, Michigan |
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| Accepts Medicare Assignments | Yes. He 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:
- Robert J Wilson graduated from nursing school in 2010
NPI Data:
- NPI Number: 1801194436
- Provider Enumeration Date: 03/07/2011
- Last Update Date: 12/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 1951585199
- Enrollment ID: I20110412000711
Medical Identifiers
Medical identifiers for Robert J Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801194436 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 4704231251 (Michigan) | Primary |
Medical Facilities Affiliation
| Facility Name | Location | Facility Type |
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| Mclaren Macomb | Mount clemens, MI | Hospital |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mclaren Macomb | 8921912791 | 115 |
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. Robert J Wilson allows following entities to bill medicare on his behalf.
| Entity Name | Mclaren Macomb |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396014601
PECOS PAC ID: 8921912791
Enrollment ID: O20040120001000 |
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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. Robert 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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Robert J Wilson, FNP-BC
39320 Hazel St,
Harrison Twp, MI 48045-2134
Ph: () - | Robert J Wilson, FNP-BC
39320 Hazel St,
Harrison Twp, MI 48045-2134
Ph: (586) 260-6990 |
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