Diana Lorraine Wilson, MD in Tampa, FL - Medicare Obstetrics & Gynecology

Diana Lorraine Wilson, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Tampa, Florida. Her current practice location is 1209 E Cumberland Ave, Unit 2505, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (704) 575-8825.

Diana Lorraine Wilson is licensed to practice in Georgia (license number 077328) 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 1720159692.

Contact Information

	Diana Lorraine Wilson, MD
	1209 E Cumberland Ave, Unit 2505, Tampa, FL 33602-4256
	(704) 575-8825
	Not Available

Map and Direction

Physician's Profile

Full Name	Diana Lorraine Wilson
Gender	Female
Speciality	Obstetrics & Gynecology
Location	1209 E Cumberland Ave, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720159692
Provider Enumeration Date: 11/13/2006
Last Update Date: 01/06/2017

Medicare PECOS Information:

PECOS PAC ID: 2264512318
Enrollment ID: I20170609001869

Medical Identifiers

Medical identifiers for Diana Lorraine Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720159692	NPI	-	NPPES
239379	Other	VA	ANTHEM HEALTHKEEPERS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	077328 (Georgia)	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. Diana Lorraine Wilson allows following entities to bill medicare on her behalf.

Entity Name	Morehouse Healthcare, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801832324 PECOS PAC ID: 6002701273 Enrollment ID: O20040217000570

Entity Name	Grady Memorial Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649765686 PECOS PAC ID: 7517032998 Enrollment ID: O20181107003377

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. Diana Lorraine 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
Diana Lorraine Wilson, MD 1209 E Cumberland Ave, Unit 2505, Tampa, FL 33602-4256 Ph: (704) 575-8825	Diana Lorraine Wilson, MD 1209 E Cumberland Ave, Unit 2505, Tampa, FL 33602-4256 Ph: (704) 575-8825

Reviews and Comments

Obstetrics & Gynecology Doctors in Tampa, FL

Dawn M Palaszewski, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2 Tampa General Cir, 4th Floor, Tampa, FL 33606 Phone: 813-259-8500 Fax: 813-259-8593
Sadhvi Batra, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-7365 Fax: 813-449-8618
Timothy Raymond Yeko, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5245 E Fletcher Ave, Suite 1, Tampa, FL 33617 Phone: 813-914-7304 Fax: 813-676-8812
Dr. Kathleen D Brown, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2818 W Virginia Ave, Tampa, FL 33607 Phone: 813-872-8551 Fax: 813-871-3708
Kristin Patrick, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 12901 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-974-0703 Fax: 813-974-4325
Dr. Richard A Matthews, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4321 N Macdill Ave, Suite 205, Tampa, FL 33607 Phone: 813-961-7440 Fax: 813-962-0951
Dr. Lorraine B Bevilacqua, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4321 N Macdill Ave, Suite 205, Tampa, FL 33607 Phone: 813-961-7440 Fax: 813-962-0951

Diana Lorraine Wilson, MD - Medicare Obstetrics & Gynecology in Tampa, FL