Teshina Nicole Wilson, DO in Richmond, CA

Teshina Nicole Wilson, DO is a medicare enrolled "Family Medicine" physician in Richmond, California. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Permanente Medical Group Inc and her current practice location is 1030 Nevin Ave, Richmond, California. You can reach out to her office (for appointments etc.) via phone at (510) 215-5001.

Teshina Nicole Wilson is licensed to practice in California (license number 13746) 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 1417147422.

Contact Information

	Teshina Nicole Wilson, DO
	1030 Nevin Ave, Richmond, CA 94801-3122
	(510) 215-5001
	(510) 215-1115

Map and Direction

Physician's Profile

Full Name	Teshina Nicole Wilson
Gender	Female
Speciality	Family Practice
Experience	17 Years
Location	1030 Nevin Ave, Richmond, California
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:

Teshina Nicole Wilson graduated from medical school in 2007

NPI Data:

NPI Number: 1417147422
Provider Enumeration Date: 07/26/2007
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 7719169572
Enrollment ID: I20160701001019

Medical Identifiers

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

Identifier	Type	State	Issuer
1417147422	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	C20009495 (Delaware)	Secondary
207Q00000X	Family Medicine	13746 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	7800

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. Teshina Nicole Wilson allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Teshina Nicole 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
Teshina Nicole Wilson, DO 1465 65th St, #432, Emeryville, CA 94608-1062 Ph: (510) 285-6814	Teshina Nicole Wilson, DO 1030 Nevin Ave, Richmond, CA 94801-3122 Ph: (510) 215-5001

Reviews and Comments

Family Medicine Doctors in Richmond, CA

Earl Clark Ii, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-742-1000
Dr. Liu Yi Lin, Family Medicine Medicare: Medicare Enrolled Practice Location: 150 Harbour Way, Richmond, CA 94801 Phone: 510-981-4100
Rebecca Marie Clyde, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2970 Hilltop Mall Rd Ste 304, Richmond, CA 94806 Phone: 510-204-8090 Fax: 510-506-7726
Angelo Julio Chavez Guerrero, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1555
Jan Diamond, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 Western Dr, Richmond, CA 94801 Phone: 415-609-5152
Yang M. Sun, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500
Dr. David Rafael Pichardo-gomez, MD, MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 150 Harbour Way, Richmond, CA 94801 Phone: 510-981-4100

Teshina Nicole Wilson, DO - Medicare Family Practice in Richmond, CA