Teicha Wilson, MD in Gallup, NM - Medicare Pediatrics

Teicha Wilson, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Gallup, New Mexico. Her current practice location is 2111 College Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 863-1820.

Teicha Wilson is licensed to practice in Washington (license number MD60027915) 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 1306818125.

Contact Information

	Teicha Wilson, MD
	2111 College Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301-5600
	(505) 863-1820
	Not Available

Map and Direction

Physician's Profile

Full Name	Teicha Wilson
Gender	Female
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	2111 College Dr, Gallup, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306818125
Provider Enumeration Date: 02/06/2006
Last Update Date: 01/28/2014

Medicare PECOS Information:

PECOS PAC ID: 8921037557
Enrollment ID: I20120103000656

Medical Identifiers

Medical identifiers for Teicha Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306818125	NPI	-	NPPES
953126	Medicaid	AZ
NM009W12	Other	NM	BCBS
QMYPR0068268	Other		MOLINA
202000082	Other	NM	PRESBYTERIAN HEALTH/SALUD
10019728	Other	NM	LOVELACE HEALTH/SALUD
42378516	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD2004-0819 (New Mexico)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	MD60027915 (Washington)	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. Teicha 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
Teicha Wilson, MD 1901 Redrock Dr, Pfs Dept, Gallup, NM 87301-5683 Ph: (505) 863-7000	Teicha Wilson, MD 2111 College Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301-5600 Ph: (505) 863-1820

Reviews and Comments

Pediatrics Doctors in Gallup, NM

Dr. Carlos Manuel De Sanctis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1268
Ramona V. Anderson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1268
Dr. John Edward Ratmeyer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 516 Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1268
Michelle Stam-maclaren, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2111 College Drive, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301 Phone: 505-863-1820
Eden Christian Henry, Pediatrics Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Janet M Li-tempest, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 516 Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1268
Gary A Escudero, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd, Box 1337, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1397

Teicha Wilson, MD - Medicare Pediatrics in Gallup, NM