Theresa Wilson, - Medicare Nurse Practitioner in San Clemente, CA

Theresa Wilson, is a medicare enrolled "Nurse Practitioner - Family" in San Clemente, California. Her current practice location is 638 Camino De Los Mares Ste D, Minute Clinic 8882, San Clemente, California. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Theresa Wilson is licensed to practice in California (license number 8242) 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 1760631592.

Contact Information

Theresa Wilson,
638 Camino De Los Mares Ste D, Minute Clinic 8882,
San Clemente, CA 92673
(866) 389-2727
Not Available

Map and Direction




Provider's Profile

Full NameTheresa Wilson
GenderFemale
SpecialityNurse Practitioner - Family
Location638 Camino De Los Mares Ste D, San Clemente, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760631592
  • Provider Enumeration Date: 09/17/2008
  • Last Update Date: 09/12/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2769534536
  • Enrollment ID: I20090709000400

Medical Identifiers

Medical identifiers for Theresa Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760631592NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 8242 (California)Primary

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. Theresa Wilson allows following entities to bill medicare on her behalf.
Entity NameCenters For Family Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467598243
PECOS PAC ID: 9931143799
Enrollment ID: O20050614000191
Entity NameMinuteclinic Diagnostic Medical Group Of Orange County Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104013879
PECOS PAC ID: 5991868929
Enrollment ID: O20090116000214

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. Theresa 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 AddressPractice Location Address
Theresa Wilson,
1 Cvs Dr, Atten: Minuteclinic Credentialing-2100,
Woonsocket, RI 02895

Ph: (612) 225-1512
Theresa Wilson,
638 Camino De Los Mares Ste D, Minute Clinic 8882,
San Clemente, CA 92673

Ph: (866) 389-2727

Reviews and Comments


Nurse Practitioner Nurses in San Clemente, CA

Katarzyna Anna Hudson, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 638 Camino De Los Mares, San Clemente, CA 92673
Phone: 714-348-6790    
Mrs. Kellie Christine Atkins, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 111 Via Plumosa, San Clemente, CA 92673
Phone: 949-291-9617    
Dr. Bimisa Chata Augustin, DNP, MSN, APRN,FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2719 S El Camino Real, San Clemente, CA 92672
Phone: 737-377-1600    Fax: 949-569-1295
Shellie Dean Graves, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5000 Pacific Coast Hwy, San Clemente, CA 92674
Phone: 949-531-0963    
Mrs. Victoria Lynn Whalen, APRN, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 638 Camino De Los Mares, San Clemente, CA 92673
Phone: 866-389-2727    
Sonia Gordon Luckey, DNP, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 638 Camino De Los Mares, San Clemente, CA 92673
Phone: 949-494-8426    
Linda Marie Long, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 187 Avenida La Pata, San Clemente, CA 92673
Phone: 949-528-4758    Fax: 949-288-0432

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.