Prof Julie M Wilson, PHD is a
Nurse Practitioner - Pediatrics based in Pawtucket, Rhode Island. Prof Julie M Wilson is licensed to practice in Rhode Island (license number APRN00315) and her current practice location is
111 Brewster St, Pawtucket, Rhode Island. She can be reached at her office (for appointments etc.) via phone at
(401) 729-6200.
NPI number for Prof Julie M Wilson is 1497789069 and her current mailing address is Memorial Hospital Of Rhode Island, 111 Brewster Street, Pawtucket, Rhode Island. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497789069.
Healthcare Provider's Profile
Full Name | Prof Julie M Wilson |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 111 Brewster St, Pawtucket, Rhode Island |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497789069
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 01/27/2020
Medical Identifiers
Medical identifiers for Prof Julie M Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497789069 | NPI | - | NPPES |
25670-4 | Other | RI | BLUE CROSS/BLUE SHIELD |
410199 | Other | RI | BLUECHIP |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | PS00582 (Rhode Island) | Secondary |
363L00000X | Nurse Practitioner | PS00582 (Rhode Island) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | APRN00315 (Rhode Island) | 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. Prof Julie M Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Prof Julie M Wilson, PHD Memorial Hospital Of Rhode Island, 111 Brewster Street, Pawtucket, RI 02860 Ph: (401) 729-6200 | Prof Julie M Wilson, PHD 111 Brewster St, Pawtucket, RI 02860-4474 Ph: (401) 729-6200 |
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