Diane C Wilson, PHD in Farmington, CT - Medicare Psychologist Provider

Diane C Wilson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Farmington, Connecticut. Her current practice location is 270 Farmington Ave Ste 328, Farmington, Connecticut. You can reach out to her office (for appointments etc.) via phone at (866) 887-6864.

Diane C Wilson is licensed to practice in Connecticut (license number 003371) 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 1497314264.

Contact Information

	Diane C Wilson, PHD
	270 Farmington Ave Ste 328, Farmington, CT 06032-1909
	(866) 887-6864
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Diane C Wilson
Gender	Female
Speciality	Psychologist - Clinical
Location	270 Farmington Ave Ste 328, Farmington, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497314264
Provider Enumeration Date: 06/06/2019
Last Update Date: 09/09/2019

Medicare PECOS Information:

PECOS PAC ID: 4880026293
Enrollment ID: I20191122000792

Medical Identifiers

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

Identifier	Type	State	Issuer
1497314264	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	003371 (Connecticut)	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. Diane C Wilson allows following entities to bill medicare on her behalf.

Entity Name	Advanced Treatment Solutions Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225577331 PECOS PAC ID: 0143652628 Enrollment ID: O20191121002295

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. Diane C 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
Diane C Wilson, PHD 270 Farmington Ave Ste 328, Farmington, CT 06032-1909 Ph: (866) 887-6864	Diane C Wilson, PHD 270 Farmington Ave Ste 328, Farmington, CT 06032-1909 Ph: (866) 887-6864

Reviews and Comments

Psychologist in Farmington, CT

Mary Casey Jacob, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-4550 Fax: 860-679-1845
Julian Ford, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 10 Talcott Notch Rd, Farmington, CT 06032 Phone: 860-679-6700 Fax: 860-679-6736
Dr. Cynthia Lynn Nye, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 270 Farmington Ave, Ste 309, Farmington, CT 06032 Phone: 860-677-5570
Carla L Corcione, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 270 Farmington Ave, Suite 309, Farmington, CT 06032 Phone: 860-677-5570 Fax: 860-677-9570
Dr. Nicole Sirrine Marshall, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10 Forest Park Dr, Farmington, CT 06032 Phone: 860-269-7813 Fax: 860-269-8621
Dr. Sandra Scantling, PSY.D., APRN Psychologist Medicare: Not Enrolled in Medicare Practice Location: 778 Farmington Ave, Farmington, CT 06032 Phone: 860-677-1910
Adrienne Vyse Miscimarra, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 11 South Rd Ste 130, Farmington, CT 06032 Phone: 860-224-5161

Diane C Wilson, PHD - Medicare Psychologist in Farmington, CT