Ms Dolores Josephine Wilson, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Arthur, Illinois. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sarah Bush Lincoln Health Center and her current practice location is
211 S Walnut St, Arthur, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 543-3444.
Ms Dolores Josephine Wilson is licensed to practice in Illinois (license number 209021427) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1457954398.
Provider's Profile
| Full Name | Ms Dolores Josephine Wilson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 211 S Walnut St, Arthur, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Dolores Josephine Wilson graduated from nursing school in 2020
NPI Data:
- NPI Number: 1457954398
- Provider Enumeration Date: 11/20/2020
- Last Update Date: 09/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 5294149456
- Enrollment ID: I20210128003151
Medical Identifiers
Medical identifiers for Ms Dolores Josephine Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457954398 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 209021427 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sarah Bush Lincoln Health Center | 5092614867 | 308 |
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. Ms Dolores Josephine Wilson allows following entities to bill medicare on her behalf.
| Entity Name | Southern Illinois Healthcare Foundation, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013198712
PECOS PAC ID: 1456256874
Enrollment ID: O20031126000641 |
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| Entity Name | Sarah Bush Lincoln Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669564662
PECOS PAC ID: 5092614867
Enrollment ID: O20031231000478 |
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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. Ms Dolores Josephine 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 |
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Ms Dolores Josephine Wilson, APRN, FNP-C
1005 Health Center Dr Ste 201,
Mattoon, IL 61938-4653
Ph: (217) 868-2812 | Ms Dolores Josephine Wilson, APRN, FNP-C
211 S Walnut St,
Arthur, IL 61911-1269
Ph: (217) 543-3444 |
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