Sierra Marie Wilson, NP in Costa Mesa, CA - Medicare Nurse Practitioner

Sierra Marie Wilson, NP is a medicare enrolled "Nurse Practitioner - Family" in Costa Mesa, California. Her current practice location is 660 Baker St Ste A102, Costa Mesa, California. You can reach out to her office (for appointments etc.) via phone at (714) 668-2505.

Sierra Marie Wilson is licensed to practice in California (license number 95023530) 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 1386353746.

Contact Information

	Sierra Marie Wilson, NP
	660 Baker St Ste A102, Costa Mesa, CA 92626-4407
	(714) 668-2505
	(714) 668-2515

Map and Direction

Provider's Profile

Full Name	Sierra Marie Wilson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	660 Baker St Ste A102, Costa Mesa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386353746
Provider Enumeration Date: 11/15/2022
Last Update Date: 08/16/2023

Medicare PECOS Information:

PECOS PAC ID: 6204207723
Enrollment ID: I20230120000625

Medical Identifiers

Medical identifiers for Sierra Marie Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386353746	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	95132747 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	95023530 (California)	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. Sierra Marie Wilson allows following entities to bill medicare on her behalf.

Entity Name	Coastal Family Medicine Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275584120 PECOS PAC ID: 4587678065 Enrollment ID: O20090124000106

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. Sierra Marie 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
Sierra Marie Wilson, NP Po Box 2218, Suisun City, CA 94585-5218 Ph: (657) 241-3600	Sierra Marie Wilson, NP 660 Baker St Ste A102, Costa Mesa, CA 92626-4407 Ph: (714) 668-2505

Reviews and Comments

Nurse Practitioner Nurses in Costa Mesa, CA

Alexandra Hutchison, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1530 Baker St Ste A, Costa Mesa, CA 92626 Phone: 714-559-5436
Judith Rivera, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Anton Blvd Fl 11, Costa Mesa, CA 92626 Phone: 623-374-7774 Fax: 855-420-6361
Madison Lucas, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Paularino Ave Ste D182, Costa Mesa, CA 92626 Phone: 866-300-7227
Yvette Alfelor Elpidio, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3151 Airway Ave, T-3, Costa Mesa, CA 92626 Phone: 714-545-5550 Fax: 714-545-5748
Mrs. Suzanne Clara Larkin, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1665 Scenic Ave, Costa Mesa, CA 92626 Phone: 714-436-4444
Rachel Renee Cliser, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 188 E 17th St Ste 101, Costa Mesa, CA 92627 Phone: 949-515-4548
Courtney Proctor, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 W 19th St, Costa Mesa, CA 92627 Phone: 714-922-4100

Sierra Marie Wilson, NP - Medicare Nurse Practitioner in Costa Mesa, CA