Mrs Lori Ann Wilson, LPC is a medicare enrolled "Counselor - Professional" provider in De Witt, Arkansas. She graduated from healthcare school in 2022 and has 4 years of diverse experience with area of expertise as Mental Health Counselor. Her current practice location is
1940 S Whitehead Dr, De Witt, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 946-4505.
Mrs Lori Ann Wilson is licensed to practice in Arkansas (license number P2503023) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1699499111.
Healthcare Provider's Profile
| Full Name | Mrs Lori Ann Wilson |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 4 Years |
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| Location | 1940 S Whitehead Dr, De Witt, Arkansas |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Lori Ann Wilson graduated from medical school in 2022
NPI Data:
- NPI Number: 1699499111
- Provider Enumeration Date: 09/28/2022
- Last Update Date: 09/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 3779092242
- Enrollment ID: I20250604004433
Medical Identifiers
Medical identifiers for Mrs Lori Ann Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1699499111 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | P2503023 (Arkansas) | 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. Mrs Lori Ann Wilson allows following entities to bill medicare on her behalf.
| Entity Name | Mid-delta Health Systems Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255346060 PECOS PAC ID: 3870574668 Enrollment ID: O20040527000492 |
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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. Mrs Lori Ann 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 |
Mrs Lori Ann Wilson, LPC 245 Madison St, Clarendon, AR 72029-2706 Ph: (870) 747-3381 | Mrs Lori Ann Wilson, LPC 1940 S Whitehead Dr, De Witt, AR 72042-2906 Ph: (870) 946-4505 |
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