Justin Wilt, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Sabillasville, Maryland. He graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Green Valley Therapy, L.l.c. and his current practice location is
4635 Foxville Rd, Sabillasville, Maryland. You can reach out to his office (for appointments etc.) via phone at
(240) 367-6331.
Justin Wilt is licensed to practice in Maryland (license number 2023193496) 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 1457121469.
Provider's Profile
| Full Name | Justin Wilt |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 4635 Foxville Rd, Sabillasville, Maryland |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Justin Wilt graduated from nursing school in 2023
NPI Data:
- NPI Number: 1457121469
- Provider Enumeration Date: 01/02/2024
- Last Update Date: 01/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 0345756755
- Enrollment ID: I20250723000100
Medical Identifiers
Medical identifiers for Justin Wilt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1457121469 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2023193496 (Maryland) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Green Valley Therapy, L.l.c. | 1850738493 | 7 |
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. Justin Wilt 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 |
Justin Wilt, PMHNP 4635 Foxville Rd, Sabillasville, MD 21780-8510 Ph: (240) 367-6331 | Justin Wilt, PMHNP 4635 Foxville Rd, Sabillasville, MD 21780-8510 Ph: (240) 367-6331 |
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