Kristal Lee Ann Wilson, MD in Louisville, KY - Medicare Interventional Pain Management

Kristal Lee Ann Wilson, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Louisville, Kentucky. She went to University Of Louisville School Of Medicine and graduated in 2011 and has 14 years of diverse experience with area of expertise as Interventional Pain Management. She is a member of the group practice Pain And Wellness Institute Of Kentucky Llc and her current practice location is 10302 Brookridge Village Blvd Ste 103-104, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 276-5300.

Kristal Lee Ann Wilson is licensed to practice in Kentucky (license number 48792) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578853602.

Contact Information

	Kristal Lee Ann Wilson, MD
	10302 Brookridge Village Blvd Ste 103-104, Louisville, KY 40291-4475
	(502) 276-5300
	(502) 576-5376

Map and Direction

Physician's Profile

Full Name	Kristal Lee Ann Wilson
Gender	Female
Speciality	Interventional Pain Management
Experience	14 Years
Location	10302 Brookridge Village Blvd Ste 103-104, Louisville, Kentucky
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kristal Lee Ann Wilson attended and graduated from University Of Louisville School Of Medicine in 2011

NPI Data:

NPI Number: 1578853602
Provider Enumeration Date: 04/11/2011
Last Update Date: 10/11/2023

Medicare PECOS Information:

PECOS PAC ID: 9830403161
Enrollment ID: I20160810002831

Medical Identifiers

Medical identifiers for Kristal Lee Ann Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578853602	NPI	-	NPPES
7100212070	Medicaid	KY
201298810	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208VP0014X	Pain Medicine - Interventional Pain Medicine	01084557A (Indiana)	Secondary
208VP0014X	Pain Medicine - Interventional Pain Medicine	48792 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Norton Hospitals, Inc	Louisville, KY	Hospital
Jewish Hospital & St Mary's Healthcare	Louisville, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pain And Wellness Institute Of Kentucky Llc	4880050418	2

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. Kristal Lee Ann Wilson allows following entities to bill medicare on her behalf.

Entity Name	Pain And Wellness Institute Of Kentucky Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336878909 PECOS PAC ID: 4880050418 Enrollment ID: O20230523003227

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. Kristal Lee Ann 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
Kristal Lee Ann Wilson, MD 10302 Brookridge Village Blvd Ste 103-104, Louisville, KY 40291-4475 Ph: (502) 576-5300	Kristal Lee Ann Wilson, MD 10302 Brookridge Village Blvd Ste 103-104, Louisville, KY 40291-4475 Ph: (502) 276-5300

Reviews and Comments

Pain Medicine Doctors in Louisville, KY

Amy Lee Delk, APRN Pain Medicine Medicare: Medicare Enrolled Practice Location: 312 S 4th St Ste 700, Louisville, KY 40202 Phone: 502-804-5495 Fax: 833-563-1715
Lady Christine Lim Ong Sio, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Bluegrass Ave Ste 300, Louisville, KY 40215 Phone: 502-815-7336 Fax: 502-815-7337
Brigid M Buckman, ARNP Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Eastpoint Pkwy, Suite 410, Louisville, KY 40223 Phone: 502-253-6625 Fax: 502-253-6629
Ricky Stanley Collis, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway, Suite 250, Louisville, KY 40202 Phone: 502-589-4765 Fax: 502-589-4799
Konrad Kijewski, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 4130 Dutchmans Ln Ste 200, Louisville, KY 40207 Phone: 502-897-1794 Fax: 502-897-3852
Dr. Teekam Ochani, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Zorn Ave, Robley Rex Va Medical Center Gec (11g), Louisville, KY 40206 Phone: 502-287-5187
Mr. Bill Walker Haney, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 6400 Dutchmans Pkwy Ste 60, Louisville, KY 40205 Phone: 502-708-9880 Fax: 502-708-6911

Kristal Lee Ann Wilson, MD - Medicare Interventional Pain Management in Louisville, KY