Dr Anna Camille Wilson, PHD in Portland, OR - Medicare Psychologist Provider

Dr Anna Camille Wilson, PHD is a medicare enrolled "Psychologist" provider in Portland, Oregon. Her current practice location is 3181 Sw Sam Jackson Park Rd, Uhn-2, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 494-9514.

Dr Anna Camille Wilson is licensed to practice in Oregon (license number 1946) 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 1750526455.

Contact Information

	Dr Anna Camille Wilson, PHD
	3181 Sw Sam Jackson Park Rd, Uhn-2, Portland, OR 97239-3011
	(503) 494-9514
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Anna Camille Wilson
Gender	Female
Speciality	Psychologist
Location	3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750526455
Provider Enumeration Date: 12/09/2008
Last Update Date: 05/11/2009

Medicare PECOS Information:

PECOS PAC ID: 2961566708
Enrollment ID: I20090123000096

Medical Identifiers

Medical identifiers for Dr Anna Camille Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750526455	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	1946 (Oregon)	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. Dr Anna Camille Wilson allows following entities to bill medicare on her behalf.

Entity Name	University Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013

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 Anna Camille 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
Dr Anna Camille Wilson, PHD 3181 Sw Sam Jackson Park Rd, Uhn-2, Portland, OR 97239-3011 Ph: (503) 494-9514	Dr Anna Camille Wilson, PHD 3181 Sw Sam Jackson Park Rd, Uhn-2, Portland, OR 97239-3011 Ph: (503) 494-9514

Reviews and Comments

Psychologist in Portland, OR

Dr. Douglas L Dunlap, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1121 Ne 2nd Ave, Portland, OR 97232 Phone: 503-731-8692
Dr. David Hugh Haven, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1525 Ne Weidler St Ste 201, Portland, OR 97232 Phone: 503-312-0281
Dr. Susan Orchard, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7415 N Oatman Ave, Portland, OR 97217 Phone: 503-358-6479
Mrs. Nellie Cichon, CADC 1 Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8202 N Denver Ave, Portland, OR 97217 Phone: 503-285-3200 Fax: 503-245-6263
Alison D. Armour, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-813-2000
Laura Isabel Miranda Olivera, MA, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7800 Sw Barbur Blvd Bldg 2, Portland, OR 97219 Phone: 855-295-3276 Fax: 888-588-2752
Dr. Amy W Wagner, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Us Veterans Hospital Rd, V3-satp, Portland, OR 97239 Phone: 503-220-8262 Fax: 360-737-1419

Dr Anna Camille Wilson, PHD - Medicare Psychologist in Portland, OR