Donna Marie Wilson, APN in Lakewood, NJ - Medicare Nurse Practitioner

Donna Marie Wilson, APN is a medicare enrolled "Nurse Practitioner - Gerontology" in Lakewood, New Jersey. Her current practice location is 17 Cedar Ct, Lakewood, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 367-2393.

Donna Marie Wilson is licensed to practice in New Jersey (license number 26NJ00916600) 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 1730743741.

Contact Information

	Donna Marie Wilson, APN
	17 Cedar Ct, Lakewood, NJ 08701-5002
	(732) 367-2393
	Not Available

Map and Direction

Provider's Profile

Full Name	Donna Marie Wilson
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	17 Cedar Ct, Lakewood, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730743741
Provider Enumeration Date: 04/24/2019
Last Update Date: 12/10/2020

Medicare PECOS Information:

PECOS PAC ID: 5092041616
Enrollment ID: I20190719000879

Medical Identifiers

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

Identifier	Type	State	Issuer
1730743741	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	26NJ00916600 (New Jersey)	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. Donna Marie Wilson allows following entities to bill medicare on her behalf.

Entity Name	Longevity Clinical Ltc Associates Of New Jersey
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376114322 PECOS PAC ID: 8820496540 Enrollment ID: O20211012000002

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. Donna Marie 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
Donna Marie Wilson, APN 17 Cedar Ct, Lakewood, NJ 08701-5002 Ph: (732) 367-2393	Donna Marie Wilson, APN 17 Cedar Ct, Lakewood, NJ 08701-5002 Ph: (732) 367-2393

Reviews and Comments

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Donna Marie Wilson, APN - Medicare Nurse Practitioner in Lakewood, NJ