Tiffany Danielle Wilson, PMHNP-BC - Medicare Nurse Practitioner in Concord, NC

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Tiffany Danielle Wilson, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Concord, North Carolina. Her current practice location is 925 Bradley St, Concord, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 360-3637.

Tiffany Danielle Wilson is licensed to practice in North Carolina (license number 5016128) 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 1821769894.

Contact Information

Tiffany Danielle Wilson, PMHNP-BC
925 Bradley St,
Concord, NC 28025-0911
(704) 360-3637
Not Available

Map and Direction




Provider's Profile

Full NameTiffany Danielle Wilson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location925 Bradley St, Concord, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821769894
  • Provider Enumeration Date: 09/21/2021
  • Last Update Date: 06/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6002290566
  • Enrollment ID: I20220831003865

Medical Identifiers

Medical identifiers for Tiffany Danielle Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821769894NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health 286968 (North Carolina)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 5016128 (North Carolina)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. Tiffany Danielle Wilson allows following entities to bill medicare on her behalf.
Entity NameIntegrative Wellness Solutions Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447760871
PECOS PAC ID: 8022341494
Enrollment ID: O20190618000993

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. Tiffany Danielle 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
Tiffany Danielle Wilson, PMHNP-BC
1218 Laurel Woods Dr,
Gastonia, NC 28052-5433

Ph: (704) 300-4706		Tiffany Danielle Wilson, PMHNP-BC
925 Bradley St,
Concord, NC 28025-0911

Ph: (704) 360-3637

Reviews and Comments


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John Emmett Fesperman, FNP
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Kimberly Smith Gallagher, FNP
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Practice Location: 349 Penny Ln, Concord, NC 28025
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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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.