Thomas Grove Wilson, CNP - Medicare Nurse Practitioner in Maplewood, MN

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Thomas Grove Wilson, CNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Maplewood, Minnesota. He went to University Of North Dakota School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Fairview Express Care and his current practice location is 3100 Kennard St, Suite 100, Maplewood, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 232-7800.

Thomas Grove Wilson is licensed to practice in Minnesota (license number CNP 4710) 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 1316495401.

Contact Information

Thomas Grove Wilson, CNP
3100 Kennard St, Suite 100,
Maplewood, MN 55109-5465
(651) 232-7800
(651) 232-7940

Map and Direction




Provider's Profile

Full NameThomas Grove Wilson
GenderMale
SpecialityNurse Practitioner
Experience8 Years
Location3100 Kennard St, Maplewood, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Thomas Grove Wilson attended and graduated from University Of North Dakota School Of Medicine in 2016
  NPI Data:
  • NPI Number: 1316495401
  • Provider Enumeration Date: 09/16/2016
  • Last Update Date: 09/16/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4284916727
  • Enrollment ID: I20170118002240

Medical Identifiers

Medical identifiers for Thomas Grove Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316495401NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health CNP 4710 (Minnesota)Secondary
363LG0600XNurse Practitioner - Gerontology CNP 4710 (Minnesota)Secondary
363LP2300XNurse Practitioner - Primary Care CNP 4710 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Express Care33756451791537

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. Thomas Grove Wilson allows following entities to bill medicare on his behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516
Entity NameHealtheast Medical Research Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548
Entity NameMidwest Medical Consulting Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972906097
PECOS PAC ID: 6709192651
Enrollment ID: O20150909000017

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. Thomas Grove 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 AddressPractice Location Address
Thomas Grove Wilson, CNP
3100 Kennard St, Suite 100,
Maplewood, MN 55109-5465

Ph: (651) 232-7800		Thomas Grove Wilson, CNP
3100 Kennard St, Suite 100,
Maplewood, MN 55109-5465

Ph: (651) 232-7800

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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