Dr Alexandra Grace Wilson, DO - Medicare Surgery in Santa Cruz, CA

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Dr Alexandra Grace Wilson, DO is a medicare enrolled "Surgery" physician in Santa Cruz, California. Her current practice location is 2911 Chanticleer Ave, Santa Cruz, California. You can reach out to her office (for appointments etc.) via phone at (831) 477-2350.

Dr Alexandra Grace Wilson is licensed to practice in California (license number 20A22508) 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 1528563384.

Contact Information

Dr Alexandra Grace Wilson, DO
2911 Chanticleer Ave,
Santa Cruz, CA 95065-1815
(831) 477-2350
Not Available

Map and Direction




Physician's Profile

Full NameDr Alexandra Grace Wilson
GenderFemale
SpecialitySurgery
Location2911 Chanticleer Ave, Santa Cruz, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528563384
  • Provider Enumeration Date: 03/26/2018
  • Last Update Date: 10/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3870849508
  • Enrollment ID: I20241018003386

Medical Identifiers

Medical identifiers for Dr Alexandra Grace Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528563384NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 20A22508 (California)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 Alexandra Grace Wilson allows following entities to bill medicare on her behalf.
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013950807
PECOS PAC ID: 4284538778
Enrollment ID: O20031125000909
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1982845186
PECOS PAC ID: 4284538778
Enrollment ID: O20090501000247
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1104067115
PECOS PAC ID: 4284538778
Enrollment ID: O20090501000456
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1497996524
PECOS PAC ID: 4284538778
Enrollment ID: O20090506000097
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1568851327
PECOS PAC ID: 4284538778
Enrollment ID: O20170927001545
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1033817168
PECOS PAC ID: 4284538778
Enrollment ID: O20230407001373

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 Alexandra Grace 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 AddressPractice Location Address
Dr Alexandra Grace Wilson, DO
325 Distel Cir,
Los Altos, CA 94022-1408

Ph: () -		Dr Alexandra Grace Wilson, DO
2911 Chanticleer Ave,
Santa Cruz, CA 95065-1815

Ph: (831) 477-2350

Reviews and Comments


Surgery Doctors in Santa Cruz, CA

Dr. Jessica Santillano, M.D.
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Phone: 831-464-9962    Fax: 831-476-1433
Dr. Lawrence J. Spingola, M.D.
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Practice Location: 1668 Dominican Way, Santa Cruz, CA 95065
Phone: 831-464-9962    Fax: 831-476-1433
Dr. Louis Choong Lee, MD
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Practice Location: 1668 Dominican Way, Santa Cruz, CA 95065
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Mr. Larry David Resneck-sannes, MD
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Practice Location: 1505 Soquel Dr Ste A, Santa Cruz, CA 95065
Phone: 831-438-5222    Fax: 831-438-5229
Paul Nguyen, D.O.
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Dr. Brian Waddle, M.D.
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Practice Location: 1668 Dominican Way, Santa Cruz, CA 95065
Phone: 831-464-9962    Fax: 831-464-9933
Dr. Bilal Mobashar Shafi, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1575 Soquel Ave, Suite C, Santa Cruz, CA 95065
Phone: 831-458-6240    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.