Mrs Misty R Wilson, OTR L is a medicare enrolled "Occupational Therapist" provider in Lexington, Missouri. Her current practice location is
2323a High School Drive, Lexington, Missouri. You can reach out to her office (for appointments etc.) via phone at
(660) 259-4369.
Mrs Misty R Wilson is licensed to practice in Missouri (license number 2008020947) 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 1619209343.
Healthcare Provider's Profile
Full Name | Mrs Misty R Wilson |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 2323a High School Drive, Lexington, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619209343
- Provider Enumeration Date: 02/05/2010
- Last Update Date: 08/11/2010
Medicare PECOS Information:
- PECOS PAC ID: 7618409558
- Enrollment ID: I20241016001638
Medical Identifiers
Medical identifiers for Mrs Misty R Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619209343 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 2008020947 (Missouri) | 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. Mrs Misty R Wilson allows following entities to bill medicare on her behalf.
Provider Name | Little Miracles Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1821110982 PECOS PAC ID: 0749572543 Enrollment ID: O20160719000977 |
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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. Mrs Misty R 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 |
Mrs Misty R Wilson, OTR L 2323a High School Drive, Lexington, MO 64067-1499 Ph: (660) 259-4369 | Mrs Misty R Wilson, OTR L 2323a High School Drive, Lexington, MO 64067-1499 Ph: (660) 259-4369 |
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