Leslie Diane Wilson, PT in Southaven, MS - Medicare Physical Therapy Provider

Leslie Diane Wilson, PT is a medicare enrolled "Physical Therapist" provider in Southaven, Mississippi. She went to Northeastern Ohio University College Of Medicine and graduated in 2012 and has 13 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Northern Ohio Medical Specialists Llc and her current practice location is 3451 Goodman Rd E Ste 108, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 890-6953.

Leslie Diane Wilson is licensed to practice in Mississippi (license number PT5223) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639424799.

Contact Information

	Leslie Diane Wilson, PT
	3451 Goodman Rd E Ste 108, Southaven, MS 38672-9305
	(662) 890-6953
	(662) 890-6954

Map and Direction

Healthcare Provider's Profile

Full Name	Leslie Diane Wilson
Gender	Female
Speciality	Physical Therapy
Experience	13 Years
Location	3451 Goodman Rd E Ste 108, Southaven, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Leslie Diane Wilson attended and graduated from Northeastern Ohio University College Of Medicine in 2012

NPI Data:

NPI Number: 1639424799
Provider Enumeration Date: 07/16/2012
Last Update Date: 01/22/2018

Medicare PECOS Information:

PECOS PAC ID: 7012163066
Enrollment ID: I20181031003054

Medical Identifiers

Medical identifiers for Leslie Diane Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639424799	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT5223 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northern Ohio Medical Specialists Llc	2769386192	298

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. Leslie Diane Wilson allows following entities to bill medicare on her behalf.

Provider Name	Northern Ohio Medical Specialists Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1225085855 PECOS PAC ID: 2769386192 Enrollment ID: O20031126000214

Provider Name	Sports And Spine Physical Therapy Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1619923026 PECOS PAC ID: 8729972922 Enrollment ID: O20040210000141

Provider Name	Ohio Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1285244996 PECOS PAC ID: 6204256696 Enrollment ID: O20201023002938

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. Leslie Diane 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
Leslie Diane Wilson, PT 800 Crescent Centre Dr Ste 600, Franklin, TN 37067-7286 Ph: (615) 373-1350	Leslie Diane Wilson, PT 3451 Goodman Rd E Ste 108, Southaven, MS 38672-9305 Ph: (662) 890-6953

Reviews and Comments

Physical Therapist in Southaven, MS

Parker P Haberstroh, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1100 Church Rd W Ste 112, Southaven, MS 38671 Phone: 662-548-3650 Fax: 662-654-8029
Michael Newton Phillips, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3451 Goodman Rd E Ste 108, Southaven, MS 38672 Phone: 662-890-6953
Mrs. Deborah Jill Patton, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5271 Getwell Rd, Southaven, MS 38672 Phone: 662-510-5694
Mrs. Tara Elaine Burt, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 Phone: 662-536-4096 Fax: 662-536-4099
Ms. Jerrica Thomas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7545 Airways Blvd, Southaven, MS 38671 Phone: 901-759-3208
Lacey Moody, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 3964 Goodman Rd E, Suite 111, Southaven, MS 38672 Phone: 662-890-6953 Fax: 662-890-6954
Mrs. Jennifer Dixon Brown, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7545 Airways Blvd, Southaven, MS 38671 Phone: 901-759-3208 Fax: 901-759-3216

Leslie Diane Wilson, PT - Medicare Physical Therapist in Southaven, MS