Heidi Renee Wilson, MD is a medicare enrolled "General Practice" physician in Horseheads, New York. Her current practice location is
100 John Roemmelt Dr, Horseheads, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 739-0352.
Heidi Renee Wilson is licensed to practice in New York (license number 321807) 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 1659486520.
Physician's Profile
| Full Name | Heidi Renee Wilson |
|---|
| Gender | Female |
|---|
| Speciality | General Practice |
|---|
| Location | 100 John Roemmelt Dr, Horseheads, New York |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659486520
- Provider Enumeration Date: 08/20/2006
- Last Update Date: 03/18/2009
Medicare PECOS Information:
- PECOS PAC ID: 5294779450
- Enrollment ID: I20050621000354
Medical Identifiers
Medical identifiers for Heidi Renee Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1659486520 | NPI | - | NPPES |
| 02647932 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 321807 (New York) | 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. Heidi Renee Wilson allows following entities to bill medicare on her behalf.
| Entity Name | Our Lady Of Lourdes Memorial Hospital Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1629087580 PECOS PAC ID: 1254237779 Enrollment ID: O20031208000366 |
|---|
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. Heidi Renee 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 |
Heidi Renee Wilson, MD 722 W Water St, Elmira, NY 14905-2435 Ph: (607) 271-2050 | Heidi Renee Wilson, MD 100 John Roemmelt Dr, Horseheads, NY 14845-8301 Ph: (607) 739-0352 |
Reviews and Comments