Dr Sandra Wilson, DDS is a medicare enrolled "Dentist" provider in Fort Washakie, Wyoming. Her current practice location is
29 Black Coal Drive, Fort Washakie, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 332-7300.
Dr Sandra Wilson is licensed to practice in Oklahoma (license number 5561) 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 1235348962.
Healthcare Provider's Profile
Full Name | Dr Sandra Wilson |
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Gender | Female |
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Speciality | Dentist |
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Location | 29 Black Coal Drive, Fort Washakie, Wyoming |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235348962
- Provider Enumeration Date: 05/21/2007
- Last Update Date: 06/08/2018
Medicare PECOS Information:
- PECOS PAC ID: 4587989033
- Enrollment ID: I20181130000481
Medical Identifiers
Medical identifiers for Dr Sandra Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235348962 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 5561 (Oklahoma) | 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 Sandra Wilson allows following entities to bill medicare on her behalf.
Entity Name | Us Health Dept Of Health & Human Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972694602 PECOS PAC ID: 9638081623 Enrollment ID: O20031106000399 |
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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. Dr Sandra 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 Sandra Wilson, DDS 100 Cheyenne Avenue, Lame Deer, MT 59043-0070 Ph: () - | Dr Sandra Wilson, DDS 29 Black Coal Drive, Fort Washakie, WY 82514 Ph: (307) 332-7300 |
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