Stacey A Wilson, OT in Bloomington, IN - Medicare Occupational Therapist Provider

Stacey A Wilson, OT is a medicare enrolled "Occupational Therapist" provider in Bloomington, Indiana. Her current practice location is 2605 E Creeks Edge Dr, Bloomington, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 333-2663.

Stacey A Wilson is licensed to practice in Indiana (license number 31004123A) 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 1932890803.

Contact Information

	Stacey A Wilson, OT
	2605 E Creeks Edge Dr, Bloomington, IN 47401-8368
	(812) 333-2663
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stacey A Wilson
Gender	Female
Speciality	Occupational Therapist
Location	2605 E Creeks Edge Dr, Bloomington, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932890803
Provider Enumeration Date: 05/19/2023
Last Update Date: 10/18/2023

Medicare PECOS Information:

PECOS PAC ID: 8022477355
Enrollment ID: I20230705003038

Medical Identifiers

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

Identifier	Type	State	Issuer
1932890803	NPI	-	NPPES
090540881	Other	IN	MEDICARE PTAN
300081337	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XH1200X	Occupational Therapist - Hand	31004123A (Indiana)	Secondary
225X00000X	Occupational Therapist	31004123A (Indiana)	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. Stacey A Wilson allows following entities to bill medicare on her behalf.

Provider Name	Indiana University Health Southern Indiana Physicians Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556

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. Stacey 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
Stacey A Wilson, OT 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Stacey A Wilson, OT 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 Ph: (812) 333-2663

Reviews and Comments

Occupational Therapist in Bloomington, IN

Christie Leigh Pace, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2770 S Adams St, Bloomington, IN 47403 Phone: 866-465-5993
Ms. Laurie Susan Allen, OTR CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 583 S Clarizz Blvd, Bloomington, IN 47401 Phone: 812-333-2663 Fax: 812-349-9206
Lois Irisa Butcher, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1100 S Curry Pike, Bloomington, IN 47403 Phone: 812-675-4948
Cecilia Wanchic, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8955 W Rice Rd, Bloomington, IN 47403 Phone: 812-325-9248
Carrie Pepper, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 328 S Woodscrest Dr, Bloomington, IN 47401 Phone: 812-353-5534
Kevin Joseph Kathman, ORT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 583 S Clarizz Blvd, Bloomington, IN 47401 Phone: 812-333-5915 Fax: 812-333-5919
Katie Edwards, MS, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2605 E Creeks Edge Dr, Bloomington, IN 47401 Phone: 812-353-3343 Fax: 812-353-3346

Stacey A Wilson, OT - Medicare Occupational Therapist in Bloomington, IN