Benjamin Wils, MD, MS is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Detroit, Michigan. His current practice location is
2799 W Grand Blvd, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at
(313) 916-2600.
Benjamin Wils is licensed to practice in Michigan (license number ) 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 1174975890.
Healthcare Provider's Profile
Full Name | Benjamin Wils |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2799 W Grand Blvd, Detroit, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174975890
- Provider Enumeration Date: 07/06/2016
- Last Update Date: 05/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 4981147931
- Enrollment ID: I20240618002539
Medical Identifiers
Medical identifiers for Benjamin Wils such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174975890 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 9702 (Minnesota) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (Michigan) | 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. Benjamin Wils 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 |
Benjamin Wils, MD, MS 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: () - | Benjamin Wils, MD, MS 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (313) 916-2600 |
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