Amanda Mary Wilson, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Fergus Falls, Minnesota. She graduated from medical school in 2012 and has 14 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Carris Health - Redwood Llc, Centracare Clinic, Centracare Clinic Southwest Llc and her current practice location is
712 S Cascade St, Fergus Falls, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 736-8000.
Amanda Mary Wilson is licensed to practice in Minnesota (license number 67864) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013271238.
Physician's Profile
| Full Name | Amanda Mary Wilson |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 14 Years |
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| Location | 712 S Cascade St, Fergus Falls, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Amanda Mary Wilson graduated from medical school in 2012
NPI Data:
- NPI Number: 1013271238
- Provider Enumeration Date: 07/03/2012
- Last Update Date: 09/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 1557652898
- Enrollment ID: I20241001000846
Medical Identifiers
Medical identifiers for Amanda Mary Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1013271238 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207V00000X | Obstetrics & Gynecology | 67864 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Carris Health - Redwood Llc | 7911259619 | 41 |
| Centracare Clinic | 2466363395 | 748 |
| Centracare Clinic Southwest Llc | 8426457946 | 166 |
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. Amanda Mary Wilson allows following entities to bill medicare on her behalf.
| Entity Name | Grinnell Regional Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437663242 PECOS PAC ID: 0446153662 Enrollment ID: O20040127001219 |
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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. Amanda Mary 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 |
Amanda Mary Wilson, DO 712 S Cascade St, Fergus Falls, MN 56537-2913 Ph: (218) 736-8000 | Amanda Mary Wilson, DO 712 S Cascade St, Fergus Falls, MN 56537-2913 Ph: (218) 736-8000 |
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