Mrs Tracy Wilson, is a
Occupational Therapist based in Brookeville, Maryland. Mrs Tracy Wilson is licensed to practice in Maryland (license number 03971) and her current practice location is
2422 Saint George Way, Brookeville, Maryland. She can be reached at her office (for appointments etc.) via phone at
(301) 570-8415.
NPI number for Mrs Tracy Wilson is 1790840296 and her current mailing address is 2422 Saint George Way, Brookeville, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. 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 | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790840296
- Provider Enumeration Date: 12/26/2006
- Last Update Date: 07/08/2007
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 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
NOT enrolled with medicare and thus cannot 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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