Mrs Tracy Wilson, is a medicare enrolled "Occupational Therapist" provider in Brookeville, Maryland. Her current practice location is
2422 Saint George Way, Brookeville, Maryland. You can reach out to her office (for appointments etc.) via phone at
(301) 570-8415.
Mrs Tracy Wilson is licensed to practice in Maryland (license number 03971) 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 1790840296.
Healthcare Provider's Profile
Full Name | Mrs Tracy Wilson |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 2422 Saint George Way, Brookeville, Maryland |
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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: 1790840296
- Provider Enumeration Date: 12/26/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1456886688
- Enrollment ID: I20241126000344
Medical Identifiers
Medical identifiers for Mrs Tracy Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790840296 | NPI | - | NPPES |
J917-0001 | Other | MD | BCBS PROVIDER NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 03971 (Maryland) | 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 Tracy Wilson allows following entities to bill medicare on her behalf.
Provider Name | Els For Autism Foundation |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1336522515 PECOS PAC ID: 9537556014 Enrollment ID: O20220502001739 |
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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 Tracy 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 Tracy Wilson, 2422 Saint George Way, Brookeville, MD 20833-3265 Ph: (301) 570-8415 | Mrs Tracy Wilson, 2422 Saint George Way, Brookeville, MD 20833-3265 Ph: (301) 570-8415 |
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