Dr Edith Diane Wilson, MD in Olympia, WA

Dr Edith Diane Wilson, MD is a medicare enrolled "Urology" physician in Olympia, Washington. Her current practice location is 615 Lilly Rd Ne Ste 175, Olympia, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 486-6772.

Dr Edith Diane Wilson is licensed to practice in Wyoming (license number 5500A) 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 1972602969.

Contact Information

	Dr Edith Diane Wilson, MD
	615 Lilly Rd Ne Ste 175, Olympia, WA 98506-5179
	(360) 486-6772
	(360) 486-6775

Map and Direction

Physician's Profile

Full Name	Dr Edith Diane Wilson
Gender	Female
Speciality	Urology
Location	615 Lilly Rd Ne Ste 175, Olympia, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972602969
Provider Enumeration Date: 09/22/2006
Last Update Date: 08/29/2011

Medicare PECOS Information:

PECOS PAC ID: 5294626008
Enrollment ID: I20151230002369

Medical Identifiers

Medical identifiers for Dr Edith Diane Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972602969	NPI	-	NPPES
110601500	Medicaid	WY
W9209	Other		CLINIC MCAR #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	5500A (Wyoming)	Primary
208800000X	Urology	36402 (Colorado)	Secondary

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 Edith Diane Wilson allows following entities to bill medicare on her behalf.

Entity Name	St Alexius Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205868429 PECOS PAC ID: 8426960865 Enrollment ID: O20031104000146

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 Edith Diane 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 Edith Diane Wilson, MD 615 Lilly Rd Ne Ste 175, Olympia, WA 98506-5179 Ph: (360) 486-6772	Dr Edith Diane Wilson, MD 615 Lilly Rd Ne Ste 175, Olympia, WA 98506-5179 Ph: (360) 486-6772

Reviews and Comments

Urology Doctors in Olympia, WA

Dr. Daniel Mark Brown, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 402 Black Hills Ln Sw, Suite A, Olympia, WA 98502 Phone: 360-943-9400 Fax: 360-956-3475
Simon P Zadina, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 703 Lilly Rd Ne, Suite 106, Olympia, WA 98506 Phone: 360-350-0281 Fax: 360-918-8280
Dr. Pierre Dominique Mechali, M.D. Urology Medicare: Medicare Enrolled Practice Location: 149 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-486-6772 Fax: 360-455-7405
Patrick William Murray, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 149 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-486-6772 Fax: 360-455-7405
Dr. Richard Nathaniel Greene Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 149 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-486-6772
Dr. David M Ward, M.D Urology Medicare: Accepting Medicare Assignments Practice Location: 149 Lilly Rd Ne, Pmg Sw Wa Olympia Urology, Olympia, WA 98506 Phone: 360-486-6772
Dr. Mark S Peckler, M.D. Urology Medicare: Medicare Enrolled Practice Location: 3525 Ensign Rd., Suite A, Olympia, WA 98505 Phone: 360-456-4666 Fax: 360-459-1566

Dr Edith Diane Wilson, MD - Medicare Urology in Olympia, WA