Dr Nicole Edith Wilson, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Douglas, Georgia. She went to Kent State University College Of Podiatric Medicine and graduated in 2011 and has 14 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Ankle And Foot Associates, Llc. and her current practice location is
204 Westside Dr, Douglas, Georgia. You can reach out to her office (for appointments etc.) via phone at
(912) 384-4121.
Dr Nicole Edith Wilson is licensed to practice in Georgia (license number POD001284) 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 1073806956.
Healthcare Provider's Profile
| Full Name | Dr Nicole Edith Wilson |
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| Gender | Female |
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| Speciality | Podiatry |
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| Experience | 14 Years |
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| Location | 204 Westside Dr, Douglas, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Nicole Edith Wilson attended and graduated from Kent State University College Of Podiatric Medicine in 2011
NPI Data:
- NPI Number: 1073806956
- Provider Enumeration Date: 05/25/2011
- Last Update Date: 02/25/2016
Medicare PECOS Information:
- PECOS PAC ID: 1557675667
- Enrollment ID: I20150803002861
Medical Identifiers
Medical identifiers for Dr Nicole Edith Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073806956 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | POD001284 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ankle And Foot Associates, Llc. | 1355327107 | 21 |
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. Dr Nicole Edith Wilson allows following entities to bill medicare on her behalf.
| Provider Name | Ankle & Foot Associates, Llc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1356492599
PECOS PAC ID: 1355327107
Enrollment ID: O20040624000900 |
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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. Dr Nicole Edith 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 |
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Dr Nicole Edith Wilson, DPM
204 Westside Dr,
Douglas, GA 31533-3528
Ph: (912) 384-4121 | Dr Nicole Edith Wilson, DPM
204 Westside Dr,
Douglas, GA 31533-3528
Ph: (912) 384-4121 |
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