Ms Carolyn Grace Wilson, BS in South San Francisco, CA - Medicare Occupational Therapist Provider

Ms Carolyn Grace Wilson, BS is a medicare enrolled "Occupational Therapist" provider in South San Francisco, California. Her current practice location is 1200 El Camino Real, South San Francisco, California. You can reach out to her office (for appointments etc.) via phone at (650) 742-2000.

Ms Carolyn Grace Wilson is licensed to practice in California (license number 3136) 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 1629253562.

Contact Information

	Ms Carolyn Grace Wilson, BS
	1200 El Camino Real, South San Francisco, CA 94080-3208
	(650) 742-2000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Carolyn Grace Wilson
Gender	Female
Speciality	Occupational Therapist
Location	1200 El Camino Real, South San Francisco, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629253562
Provider Enumeration Date: 01/09/2008
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 7113178179
Enrollment ID: I20121121000496

Medical Identifiers

Medical identifiers for Ms Carolyn Grace Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629253562	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	3136 (California)	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. Ms Carolyn Grace Wilson allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Ms Carolyn Grace 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
Ms Carolyn Grace Wilson, BS 1171 Fairmont Dr, San Bruno, CA 94066-2719 Ph: (650) 952-4779	Ms Carolyn Grace Wilson, BS 1200 El Camino Real, South San Francisco, CA 94080-3208 Ph: (650) 742-2000

Reviews and Comments

Occupational Therapist in South San Francisco, CA

Amy Strunka, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000
Eugene Cheung, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 Buena Vista Rd, South San Francisco, CA 94080 Phone: 650-438-7940
Yareli Yurianairi Bowman, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000
Carmela Grace Dizon, M.S. OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 822 Antoinette Ln Apt D, South San Francisco, CA 94080 Phone: 650-504-2413
Nancy Lew, O.T.R. IL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 825 Southwood Dr, South San Francisco, CA 94080 Phone: 650-877-8795
Derrick Leong, OCCUPATIONAL THERAPI Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 139 Francisco Dr, South San Francisco, CA 94080 Phone: 415-269-5933
Jeffrey Ung, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 395 Oyster Point Blvd Ste 202, South San Francisco, CA 94080 Phone: 650-758-2175

Ms Carolyn Grace Wilson, BS - Medicare Occupational Therapist in South San Francisco, CA