Kristian A Wilson, OT in Poplarville, MS - Medicare Occupational Therapist Provider

Kristian A Wilson, OT is a medicare enrolled "Occupational Therapist" provider in Poplarville, Mississippi. Her current practice location is 9 Balmoral Dr Ste A, Poplarville, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 746-5101.

Kristian A Wilson is licensed to practice in Mississippi (license number OT-3829) 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 1104433168.

Contact Information

	Kristian A Wilson, OT
	9 Balmoral Dr Ste A, Poplarville, MS 39470-3344
	(601) 746-5101
	(601) 746-5102

Map and Direction

Healthcare Provider's Profile

Full Name	Kristian A Wilson
Gender	Female
Speciality	Occupational Therapist
Location	9 Balmoral Dr Ste A, Poplarville, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104433168
Provider Enumeration Date: 09/24/2020
Last Update Date: 10/27/2020

Medicare PECOS Information:

PECOS PAC ID: 6305215427
Enrollment ID: I20221213001156

Medical Identifiers

Medical identifiers for Kristian A Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104433168	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT-3829 (Mississippi)	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. Kristian A Wilson allows following entities to bill medicare on her behalf.

Provider Name	Bright Steps Therapy, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1245857978 PECOS PAC ID: 6709276090 Enrollment ID: O20211130002091

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. Kristian A 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
Kristian A Wilson, OT Po Box 956, Poplarville, MS 39470-0956 Ph: (601) 746-5101	Kristian A Wilson, OT 9 Balmoral Dr Ste A, Poplarville, MS 39470-3344 Ph: (601) 746-5101

Reviews and Comments

Occupational Therapist in Poplarville, MS

Marquita Le'ann Mcintosh, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1227 S Main St, Poplarville, MS 39470 Phone: 601-746-5101 Fax: 601-746-5102
Amber Rikia Tillman, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1227 S Main St, Poplarville, MS 39470 Phone: 601-746-5101 Fax: 601-746-5102
Ashley Sheppard, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 305 W Moody St, Poplarville, MS 39470 Phone: 601-795-4543
Ashley Jordan Breland, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 9 Balmoral Dr Ste A, Poplarville, MS 39470 Phone: 601-746-5101 Fax: 601-746-5101
Marlee Cameron, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1227 S Main St, Poplarville, MS 39470 Phone: 601-746-5101
Whitney S Walker, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 9 Balmoral Dr Ste A, Poplarville, MS 39470 Phone: 601-746-5101 Fax: 601-746-5102

Kristian A Wilson, OT - Medicare Occupational Therapist in Poplarville, MS