Kerry Elizabeth Wilson, MD in Bridgeport, CT

Kerry Elizabeth Wilson, MD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Bridgeport, Connecticut. Her current practice location is 510 Clinton Ave, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 330-6000.

Kerry Elizabeth Wilson is licensed to practice in Connecticut (license number 73122) 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 1629207998.

Contact Information

	Kerry Elizabeth Wilson, MD
	510 Clinton Ave, Bridgeport, CT 06605-1701
	(203) 330-6000
	Not Available

Map and Direction

Physician's Profile

Full Name	Kerry Elizabeth Wilson
Gender	Female
Speciality	Internal Medicine - Infectious Disease
Location	510 Clinton Ave, Bridgeport, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629207998
Provider Enumeration Date: 07/08/2009
Last Update Date: 06/06/2023

Medicare PECOS Information:

PECOS PAC ID: 1355571514
Enrollment ID: I20230118002859

Medical Identifiers

Medical identifiers for Kerry Elizabeth Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629207998	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RI0200X	Internal Medicine - Infectious Disease	73122 (Connecticut)	Primary
207RI0200X	Internal Medicine - Infectious Disease	0101250719 (Virginia)	Secondary

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. Kerry Elizabeth Wilson allows following entities to bill medicare on her behalf.

Entity Name	South-west Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699703686 PECOS PAC ID: 2466445200 Enrollment ID: O20040420001098

Entity Name	Hartford Healthcare Medical Group Specialists Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441

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. Kerry Elizabeth 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
Kerry Elizabeth Wilson, MD 46 Albion St, Bridgeport, CT 06605-2602 Ph: () -	Kerry Elizabeth Wilson, MD 510 Clinton Ave, Bridgeport, CT 06605-1701 Ph: (203) 330-6000

Reviews and Comments

Internal Medicine Doctors in Bridgeport, CT

Mitchell Andrew Fogel, M.D. Infectious Disease Medicare: Medicare Enrolled Practice Location: 900 Madison Ave, Suite 209, Bridgeport, CT 06606 Phone: 203-335-0195 Fax: 203-335-7293
Christian Heineken, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 3180 Main St, Suite 301, Bridgeport, CT 06606 Phone: 203-373-9100 Fax: 203-365-8492
Pasquale Masone, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 3180 Main St, Suite 301, Bridgeport, CT 06606 Phone: 203-373-9100 Fax: 203-365-8492
Kevin B Panzer, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 1381 Reservoir Ave., Bridgeport, CT 06606 Phone: 203-371-5197
Ms. Lucia Plichtova, M.D. Infectious Disease Medicare: Medicare Enrolled Practice Location: 267 Grant Street, Bridgeport, CT 06610 Phone: 203-384-3792
Hilda Daureen Kyotakoze, M.D. Infectious Disease Medicare: Medicare Enrolled Practice Location: 4920 Main St Fl 2, Bridgeport, CT 06606 Phone: 203-371-2986
Karen A Hutchinson, M.D. Infectious Disease Medicare: Medicare Enrolled Practice Location: 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610 Phone: 203-384-3873 Fax: 203-384-3829

Kerry Elizabeth Wilson, MD - Medicare Internal Medicine in Bridgeport, CT