Dr Lori S Wilson, DDS in Montgomery, AL - Medicare Dentist Provider

Dr Lori S Wilson, DDS is a medicare enrolled "Dentist - General Practice" provider in Montgomery, Alabama. Her current practice location is 3052 Mcgehee Rd, Montgomery, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 239-9704.

Dr Lori S Wilson is licensed to practice in Virginia (license number 0401411164) 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 1861409203.

Contact Information

	Dr Lori S Wilson, DDS
	3052 Mcgehee Rd, Montgomery, AL 36111-2203
	(334) 239-9704
	(334) 239-9505

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Lori S Wilson
Gender	Female
Speciality	Dentist - General Practice
Location	3052 Mcgehee Rd, Montgomery, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861409203
Provider Enumeration Date: 08/01/2006
Last Update Date: 10/31/2023

Medicare PECOS Information:

PECOS PAC ID: 3779986161
Enrollment ID: I20210722002101

Medical Identifiers

Medical identifiers for Dr Lori S Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861409203	NPI	-	NPPES
9179631	Medicaid	VA
7996766	Other	VA	AETNA
1335151	Other	VA	UNITED CONCORDIA
199459	Other	VA	BLUE CROSS/ BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	D-0006715-C (Alabama)	Secondary
1223G0001X	Dentist - General Practice	0401411164 (Virginia)	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. Dr Lori S Wilson allows following entities to bill medicare on her behalf.

Entity Name	Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598788218 PECOS PAC ID: 1557324811 Enrollment ID: O20041201000952

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. Dr Lori S 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
Dr Lori S Wilson, DDS 602 Fairway Dr, Dothan, AL 36301-7860 Ph: (757) 635-0497	Dr Lori S Wilson, DDS 3052 Mcgehee Rd, Montgomery, AL 36111-2203 Ph: (334) 239-9704

Reviews and Comments

Dentist in Montgomery, AL

Dr. Gipson Mark Kingry, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8101 Seaton Pl., Suite A, Montgomery, AL 36116 Phone: 334-272-4900 Fax: 334-409-9933
Dr. Cory Allen Borer, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 7022 Vaughn Rd, Montgomery, AL 36116 Phone: 334-271-3111 Fax: 334-271-3112
Robert William Scott, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4146 Carmichael Rd, Suite D, Montgomery, AL 36106 Phone: 334-270-9924 Fax: 334-270-9904
Dr. Grady L. Price Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4164 Carmichael Rd, Montgomery, AL 36106 Phone: 334-277-2980 Fax: 334-277-2987
Dr. Foch M. Smart, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 315 Ray Thorington Rd, Montgomery, AL 36117 Phone: 334-271-2345
Miss Lini Cai Mickus, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 3060 Mobile Hwy, Montgomery, AL 36108 Phone: 843-813-5281
Dr. Roosevelt Alfonso Daniel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 524 E Edgemont Ave, Montgomery, AL 36111 Phone: 334-834-9647 Fax: 334-834-3716

Dr Lori S Wilson, DDS - Medicare Dentist in Montgomery, AL