William Timothy Wilson, NP - Medicare Nurse Practitioner in Cookeville, TN

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William Timothy Wilson, NP is a medicare enrolled "Nurse Practitioner - Family" in Cookeville, Tennessee. He went to Vanderbilt University School Of Medicine and graduated in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Innovative Family Care, Pllc and his current practice location is 3300 Williams Enterprise Dr Ste 1, Cookeville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 528-9222.

William Timothy Wilson is licensed to practice in Tennessee (license number 28240) 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 1174140008.

Contact Information

William Timothy Wilson, NP
3300 Williams Enterprise Dr Ste 1,
Cookeville, TN 38506-4280
(931) 528-9222
(931) 854-0907

Map and Direction




Provider's Profile

Full NameWilliam Timothy Wilson
GenderMale
SpecialityNurse Practitioner
Experience4 Years
Location3300 Williams Enterprise Dr Ste 1, Cookeville, Tennessee
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:
  • William Timothy Wilson attended and graduated from Vanderbilt University School Of Medicine in 2020
  NPI Data:
  • NPI Number: 1174140008
  • Provider Enumeration Date: 06/26/2020
  • Last Update Date: 12/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0345652384
  • Enrollment ID: I20201215002125

Medical Identifiers

Medical identifiers for William Timothy Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174140008NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WE0003XRegistered Nurse - Emergency 214850 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family 28240 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Innovative Family Care, Pllc00424749425

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. William Timothy Wilson allows following entities to bill medicare on his behalf.
Entity NameInnovative Family Care, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720345408
PECOS PAC ID: 0042474942
Enrollment ID: O20120605000463

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. William Timothy 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
William Timothy Wilson, NP
3300 Williams Enterprise Dr Ste 1,
Cookeville, TN 38506-4224

Ph: (931) 528-9222		William Timothy Wilson, NP
3300 Williams Enterprise Dr Ste 1,
Cookeville, TN 38506-4280

Ph: (931) 528-9222

Reviews and Comments


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Joseph C Archer, ANP C
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Japheth F Harding, FNP
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Practice Location: 225 N Willow Ave, Cookeville, TN 38501
Phone: 931-528-8899    Fax: 931-528-5121

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.