Karolyn Angela Wilder, RN, PMHNP in Petoskey, MI

Karolyn Angela Wilder, RN, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Petoskey, Michigan. Her current practice location is 101 Lewis St Ste 2, Petoskey, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 881-1047.

Karolyn Angela Wilder is licensed to practice in Michigan (license number 4704191311) 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 1518621994.

Contact Information

	Karolyn Angela Wilder, RN, PMHNP
	101 Lewis St Ste 2, Petoskey, MI 49770
	(231) 881-1047
	Not Available

Map and Direction

Provider's Profile

Full Name	Karolyn Angela Wilder
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	101 Lewis St Ste 2, Petoskey, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518621994
Provider Enumeration Date: 10/22/2021
Last Update Date: 01/09/2023

Medicare PECOS Information:

PECOS PAC ID: 6305231994
Enrollment ID: I20220317001582

Medical Identifiers

Medical identifiers for Karolyn Angela Wilder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518621994	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	4704191311 (Michigan)	Primary
163WP0808X	Registered Nurse - Psychiatric/mental Health	4704191311 (Michigan)	Secondary

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. Karolyn Angela Wilder allows following entities to bill medicare on her behalf.

Entity Name	Beacon Wellness Solutions Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689326837 PECOS PAC ID: 4587059175 Enrollment ID: O20220317001487

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. Karolyn Angela Wilder 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
Karolyn Angela Wilder, RN, PMHNP 101 Lewis St Ste 2, Petoskey, MI 49770 Ph: (231) 881-1047	Karolyn Angela Wilder, RN, PMHNP 101 Lewis St Ste 2, Petoskey, MI 49770 Ph: (231) 881-1047

Reviews and Comments

Nurse Practitioner Nurses in Petoskey, MI

Timothy Robert La Gasse, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Connable Ave, Petoskey, MI 49770 Phone: 231-487-4520
Keely Marie Blosh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-487-4000 Fax: 231-547-3424
Casandra Jane Newland, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 560 W Mitchell St Ste 400, Petoskey, MI 49770 Phone: 231-487-2490
Kristi Lynn Dipzinski, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 560 W Mitchell St, Suite 300, Petoskey, MI 49770 Phone: 231-487-2460 Fax: 231-487-5965
Jason Moyns, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 560 W Mitchell St Ste 560, Petoskey, MI 49770 Phone: 231-487-5400
Mrs. Kristie Lyn Haalck, AGAC-NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 560 W Mitchell St Ste 125, Petoskey, MI 49770 Phone: 231-487-4029
Marisa Pilarski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 116 W Mitchell St, Petoskey, MI 49770 Phone: 586-531-0453

Karolyn Angela Wilder, RN, PMHNP - Medicare Nurse Practitioner in Petoskey, MI