Mr Douglas Alan Wilson, MA, LPC in Spring Lake, MI

Mr Douglas Alan Wilson, MA, LPC is a medicare enrolled "Counselor - Professional" provider in Spring Lake, Michigan. His current practice location is 17224 Van Wagoner Rd, Spring Lake, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 799-8182.

Mr Douglas Alan Wilson is licensed to practice in Michigan (license number 6401012170) 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 1174833750.

Contact Information

	Mr Douglas Alan Wilson, MA, LPC
	17224 Van Wagoner Rd, Spring Lake, MI 49456-9702
	(231) 799-8182
	(616) 296-2148

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Douglas Alan Wilson
Gender	Male
Speciality	Counselor - Professional
Location	17224 Van Wagoner Rd, Spring Lake, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174833750
Provider Enumeration Date: 10/15/2010
Last Update Date: 12/03/2015

Medicare PECOS Information:

PECOS PAC ID: 6406299015
Enrollment ID: I20240212001062

Medical Identifiers

Medical identifiers for Mr Douglas Alan Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174833750	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6401012170 (Michigan)	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. Mr Douglas Alan Wilson allows following entities to bill medicare on his behalf.

Entity Name	Kristine Koetje Ma, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316010770 PECOS PAC ID: 3375701873 Enrollment ID: O20120229000489

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. Mr Douglas Alan 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
Mr Douglas Alan Wilson, MA, LPC 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 Ph: (231) 799-8182	Mr Douglas Alan Wilson, MA, LPC 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 Ph: (231) 799-8182

Reviews and Comments

Counselor in Spring Lake, MI

Leeanna April Peter, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17224 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 616-296-2130
Amanda Vergin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 N Buchanan St, Spring Lake, MI 49456 Phone: 586-924-0125
Dana Leigh Hood, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17214 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 231-670-0663
Ms. Gretchen Lawrence, LPC Counselor Medicare: Medicare Enrolled Practice Location: 109 S Jackson St, Spring Lake, MI 49456 Phone: 616-842-0405 Fax: 616-842-0405
Virginia Hartman, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 16950 Landing Dr, Spring Lake, MI 49456 Phone: 616-402-3910 Fax: 616-842-4837
Mrs. Shandra Smith, M.A., LLPC Counselor Medicare: Medicare Enrolled Practice Location: 17224 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 616-296-2130 Fax: 616-296-2148

Mr Douglas Alan Wilson, MA, LPC - Medicare Counselor in Spring Lake, MI