Mary Therese Wilson, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Sagamore Beach, Massachusetts. She graduated from medical school in 1981 and has 44 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Sagamore Counseling and her current practice location is
114 State Rd, Sagamore Beach, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(801) 678-3317.
Mary Therese Wilson is licensed to practice in Massachusetts (license number 52951) 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 1720126766.
Physician's Profile
| Full Name | Mary Therese Wilson |
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| Gender | Female |
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| Speciality | Psychiatry |
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| Experience | 44 Years |
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| Location | 114 State Rd, Sagamore Beach, Massachusetts |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mary Therese Wilson graduated from medical school in 1981
NPI Data:
- NPI Number: 1720126766
- Provider Enumeration Date: 02/02/2007
- Last Update Date: 01/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 8729141619
- Enrollment ID: I20090121000169
Medical Identifiers
Medical identifiers for Mary Therese Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720126766 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 52951 (Massachusetts) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sagamore Counseling | 2062855265 | 3 |
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. Mary Therese Wilson allows following entities to bill medicare on her behalf.
| Entity Name | Sagamore Counseling |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952943284
PECOS PAC ID: 2062855265
Enrollment ID: O20240205002271 |
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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. Mary Therese 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 |
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Mary Therese Wilson, MD
114 State Rd,
Sagamore Beach, MA 02562-2317
Ph: (801) 678-3317 | Mary Therese Wilson, MD
114 State Rd,
Sagamore Beach, MA 02562-2317
Ph: (801) 678-3317 |
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