Gabriel Wilson, CRNP-FAMILY is a medicare enrolled "Family Medicine" physician in West River, Maryland. His current practice location is
134 Owensville Rd, West River, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 867-4700.
Gabriel Wilson is licensed to practice in Maryland (license number R225305) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245947522.
Physician's Profile
Full Name | Gabriel Wilson |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 134 Owensville Rd, West River, Maryland |
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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: 1245947522
- Provider Enumeration Date: 11/04/2022
- Last Update Date: 11/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 5597138586
- Enrollment ID: I20230222000055
Medical Identifiers
Medical identifiers for Gabriel Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245947522 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | R225305 (Maryland) | Primary |
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. Gabriel 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 |
Gabriel Wilson, CRNP-FAMILY 6131 Shady Side Rd, Shady Side, MD 20764-9504 Ph: (410) 867-4700 | Gabriel Wilson, CRNP-FAMILY 134 Owensville Rd, West River, MD 20778-9702 Ph: (410) 867-4700 |
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