Stormy Wilson, is a medicare enrolled "Physical Therapist" provider in Lucas, Iowa. Her current practice location is
15500 555th St, Lucas, Iowa. You can reach out to her office (for appointments etc.) via phone at
(641) 342-5340.
Stormy Wilson is licensed to practice in Iowa (license number 004751) 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 1932524279.
Healthcare Provider's Profile
| Full Name | Stormy Wilson |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 15500 555th St, Lucas, Iowa |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1932524279
- Provider Enumeration Date: 02/24/2014
- Last Update Date: 02/24/2014
Medicare PECOS Information:
- PECOS PAC ID: 2567681521
- Enrollment ID: I20140924001140
Medical Identifiers
Medical identifiers for Stormy Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932524279 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 004751 (Iowa) | 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. Stormy Wilson allows following entities to bill medicare on her behalf.
| Provider Name | Physicians' Clinic Of Iowa, Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1821075599
PECOS PAC ID: 2163325242
Enrollment ID: O20040128000886 |
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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. Stormy 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 |
|---|
Stormy Wilson,
800 S Fillmore St,
Osceola, IA 50213-1619
Ph: () - | Stormy Wilson,
15500 555th St,
Lucas, IA 50151-8473
Ph: (641) 342-5340 |
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