Dr David Ellsworth Wilt, PHD - Medicare Psychologist in Knoxville, TN

Dr David Ellsworth Wilt, PHD is a medicare enrolled "Psychologist - Clinical" provider in Knoxville, Tennessee. His current practice location is 111 Westfield Road, Knoxville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 588-9572.

Dr David Ellsworth Wilt is licensed to practice in Tennessee (license number P344) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841326766.

Contact Information

Dr David Ellsworth Wilt, PHD
111 Westfield Road,
Knoxville, TN 37919-4820
(865) 588-9572
(865) 584-6219

Map and Direction




Healthcare Provider's Profile

Full NameDr David Ellsworth Wilt
GenderMale
SpecialityPsychologist - Clinical
Location111 Westfield Road, Knoxville, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841326766
  • Provider Enumeration Date: 02/26/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9234396896
  • Enrollment ID: I20120209000195

Medical Identifiers

Medical identifiers for Dr David Ellsworth Wilt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841326766NPI-NPPES
3689034MedicaidTN
2008885OtherTNBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical P344 (Tennessee)Primary

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 David Ellsworth Wilt 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 AddressPractice Location Address
Dr David Ellsworth Wilt, PHD
111 Westfield Road,
Knoxville, TN 37919-4820

Ph: (865) 588-9572
Dr David Ellsworth Wilt, PHD
111 Westfield Road,
Knoxville, TN 37919-4820

Ph: (865) 588-9572

Reviews and Comments


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