Shaniqua Nicole Wilson, in Poughkeepsie, NY - Medicare Nurse Practitioner

Shaniqua Nicole Wilson, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Poughkeepsie, New York. Her current practice location is 241 North Rd, Poughkeepsie, New York. You can reach out to her office (for appointments etc.) via phone at (845) 483-5000.

Shaniqua Nicole Wilson is licensed to practice in New York (license number 402439) 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 1588150593.

Contact Information

	Shaniqua Nicole Wilson,
	241 North Rd, Poughkeepsie, NY 12601-1154
	(845) 483-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Shaniqua Nicole Wilson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	241 North Rd, Poughkeepsie, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588150593
Provider Enumeration Date: 07/03/2018
Last Update Date: 05/27/2021

Medicare PECOS Information:

PECOS PAC ID: 9830427947
Enrollment ID: I20190828001382

Medical Identifiers

Medical identifiers for Shaniqua Nicole Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588150593	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	636904 (New York)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	402439 (New York)	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. Shaniqua Nicole Wilson allows following entities to bill medicare on her behalf.

Entity Name	Premier Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760436190 PECOS PAC ID: 1254233158 Enrollment ID: O20040122000144

Entity Name	Westchester Medical Center Advanced Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912131392 PECOS PAC ID: 3173660776 Enrollment ID: O20091031000042

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. Shaniqua Nicole 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
Shaniqua Nicole Wilson, 19 Bradhurst Ave Ste 3100n, Hawthorne, NY 10532-2140 Ph: (914) 909-9018	Shaniqua Nicole Wilson, 241 North Rd, Poughkeepsie, NY 12601-1154 Ph: (845) 483-5000

Reviews and Comments

Nurse Practitioner Nurses in Poughkeepsie, NY

Miss Laura Robinson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15 Fulton Ave, Poughkeepsie, NY 12603 Phone: 845-473-8996 Fax: 845-797-5054
Christie Allen, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 241 North Rd, Poughkeepsie, NY 12601 Phone: 845-483-5000
Olivia Maamle Obuabang, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12 Knightsbridge Unit E, Poughkeepsie, NY 12603 Phone: 646-245-9527
Dorothy A Gioia, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 696 Dutchess Tpke Ste 11, Poughkeepsie, NY 12603 Phone: 845-454-8200 Fax: 845-343-3295
Ms. Lisa Gruenhut Gold, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Bushwick Rd Ste B, Poughkeepsie, NY 12603 Phone: 845-654-0506 Fax: 845-842-1361
Margaret Gallagher, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19 Baker Ave, Ste 302, Poughkeepsie, NY 12601 Phone: 845-483-5888 Fax: 845-471-4381
Matthew John Pernice, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 696 Dutchess Tpke, Poughkeepsie, NY 12603 Phone: 845-204-9260

Shaniqua Nicole Wilson, - Medicare Nurse Practitioner in Poughkeepsie, NY