Sandra G Wilusz, FNP-BC is a medicare enrolled "Nurse Practitioner" in Hildebran, North Carolina. She graduated from nursing school in 2008 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Impact Healthcare, P.a. and her current practice location is
517 Main Ave W, Hildebran, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(828) 580-5561.
Sandra G Wilusz is licensed to practice in North Carolina (license number 5004260) 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 1871739367.
Provider's Profile
| Full Name | Sandra G Wilusz |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 17 Years |
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| Location | 517 Main Ave W, Hildebran, North Carolina |
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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:
- Sandra G Wilusz graduated from nursing school in 2008
NPI Data:
- NPI Number: 1871739367
- Provider Enumeration Date: 01/05/2009
- Last Update Date: 04/02/2018
Medicare PECOS Information:
- PECOS PAC ID: 6002971736
- Enrollment ID: I20090212000677
Medical Identifiers
Medical identifiers for Sandra G Wilusz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871739367 | NPI | - | NPPES |
| 1871739367 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 5004260 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Impact Healthcare, P.a. | 3476810532 | 10 |
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. Sandra G Wilusz allows following entities to bill medicare on her behalf.
| Entity Name | Blue Ridge Healthcare Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467993931
PECOS PAC ID: 9436159712
Enrollment ID: O20070110000601 |
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| Entity Name | Impact Healthcare, P.a. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124537246
PECOS PAC ID: 3476810532
Enrollment ID: O20171127002943 |
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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. Sandra G Wilusz 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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Sandra G Wilusz, FNP-BC
517 Main Ave W,
Hildebran, NC 28637-8312
Ph: (828) 580-5561 | Sandra G Wilusz, FNP-BC
517 Main Ave W,
Hildebran, NC 28637-8312
Ph: (828) 580-5561 |
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