William Timothy Wilson, NP in Cookeville, TN - Medicare Nurse Practitioner

William Timothy Wilson, NP is a medicare enrolled "Nurse Practitioner - Family" in Cookeville, Tennessee. He went to Vanderbilt University School Of Medicine and graduated in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Innovative Family Care, Pllc and his current practice location is 3300 Williams Enterprise Dr Ste 1, Cookeville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 528-9222.

William Timothy Wilson is licensed to practice in Tennessee (license number 28240) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174140008.

Contact Information

	William Timothy Wilson, NP
	3300 Williams Enterprise Dr Ste 1, Cookeville, TN 38506-4280
	(931) 528-9222
	(931) 854-0907

Map and Direction

Provider's Profile

Full Name	William Timothy Wilson
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	3300 Williams Enterprise Dr Ste 1, Cookeville, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

William Timothy Wilson attended and graduated from Vanderbilt University School Of Medicine in 2020

NPI Data:

NPI Number: 1174140008
Provider Enumeration Date: 06/26/2020
Last Update Date: 12/05/2022

Medicare PECOS Information:

PECOS PAC ID: 0345652384
Enrollment ID: I20201215002125

Medical Identifiers

Medical identifiers for William Timothy Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174140008	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WE0003X	Registered Nurse - Emergency	214850 (Tennessee)	Secondary
363LF0000X	Nurse Practitioner - Family	28240 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cookeville Regional Medical Center	Cookeville, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Innovative Family Care, Pllc	0042474942	5

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. William Timothy Wilson allows following entities to bill medicare on his behalf.

Entity Name	Innovative Family Care, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720345408 PECOS PAC ID: 0042474942 Enrollment ID: O20120605000463

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. William Timothy 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
William Timothy Wilson, NP 3300 Williams Enterprise Dr Ste 1, Cookeville, TN 38506-4224 Ph: (931) 528-9222	William Timothy Wilson, NP 3300 Williams Enterprise Dr Ste 1, Cookeville, TN 38506-4280 Ph: (931) 528-9222

Reviews and Comments

Nurse Practitioner Nurses in Cookeville, TN

Amy Jo Emerick, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 509 N Cedar Ave, Cookeville, TN 38501 Phone: 931-520-8435
Cathleen Delane Stewart, NURSE PRACTIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 758 S Willow Ave., Cookeville, TN 38501 Phone: 931-526-6173 Fax: 931-526-5084
Laura June Young, FAMILY PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1101 Neal St, Cookeville, TN 38501 Phone: 931-528-8593
Sarah Brady, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 W 3rd St, Cookeville, TN 38501 Phone: 931-528-9047
Mrs. Karen Candace Norrod, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 E Spring St Ste B, Cookeville, TN 38501 Phone: 931-303-0665
Joseph C Archer, ANP C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 S Willow Ave, Cookeville, TN 38501 Phone: 931-526-9518 Fax: 931-372-0087
Japheth F Harding, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 N Willow Ave, Cookeville, TN 38501 Phone: 931-528-8899 Fax: 931-528-5121

William Timothy Wilson, NP - Medicare Nurse Practitioner in Cookeville, TN