Douglas Van Wilson, CRNP - Medicare Nurse Practitioner in Lincoln, AL

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Douglas Van Wilson, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Lincoln, Alabama. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Fast Pace Medical Clinic Pllc and his current practice location is 47344 Us Highway 78, Lincoln, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 763-7848.

Douglas Van Wilson is licensed to practice in Alabama (license number 1-107799) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407417538.

Contact Information

Douglas Van Wilson, CRNP
47344 Us Highway 78,
Lincoln, AL 35096-6748
(205) 763-7848
Not Available

Map and Direction




Provider's Profile

Full NameDouglas Van Wilson
GenderMale
SpecialityNurse Practitioner
Experience5 Years
Location47344 Us Highway 78, Lincoln, Alabama
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Douglas Van Wilson graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1407417538
  • Provider Enumeration Date: 06/28/2019
  • Last Update Date: 06/28/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8921339821
  • Enrollment ID: I20191007003709

Medical Identifiers

Medical identifiers for Douglas Van Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407417538NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1-107799 (Alabama)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fast Pace Medical Clinic Pllc5395881841510

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. Douglas Van Wilson allows following entities to bill medicare on his behalf.
Entity NameBaptist Health Centers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265496236
PECOS PAC ID: 3476457011
Enrollment ID: O20180124001442
Entity NameFast Pace Medical Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639679962
PECOS PAC ID: 5395881841
Enrollment ID: O20200415001560

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. Douglas Van 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 AddressPractice Location Address
Douglas Van Wilson, CRNP
1130 22nd St S Ste 1000,
Birmingham, AL 35205-2881

Ph: () -		Douglas Van Wilson, CRNP
47344 Us Highway 78,
Lincoln, AL 35096-6748

Ph: (205) 763-7848

Reviews and Comments


Nurse Practitioner Nurses in Lincoln, AL

Ariel Carpenter, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1800 Honda Dr, Lincoln, AL 35096
Phone: 205-355-6850    
Amy C Ledbetter, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 47344 Us Highway 78, Lincoln, AL 35096
Phone: 205-763-7848    
Misty Lawley Ralyea, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 47344 Us Highway 78, Lincoln, AL 35096
Phone: 205-763-7848    Fax: 205-763-7235
Brenda P Bynum, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 47344 Us Highway 78, Lincoln, AL 35096
Phone: 205-763-7848    Fax: 205-763-7235

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.