Loretta Sue Wilson, NP - Medicare Nurse Practitioner in Gray, KY

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Loretta Sue Wilson, NP is a medicare enrolled "Nurse Practitioner" in Gray, Kentucky. Her current practice location is 39 Cumberland Gap Plz, Gray, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 526-9005.

Loretta Sue Wilson is licensed to practice in Kentucky (license number 3005770) 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 1407002603.

Contact Information

Loretta Sue Wilson, NP
39 Cumberland Gap Plz,
Gray, KY 40734-4536
(606) 526-9005
(606) 526-8606

Map and Direction




Provider's Profile

Full NameLoretta Sue Wilson
GenderFemale
SpecialityNurse Practitioner
Location39 Cumberland Gap Plz, Gray, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407002603
  • Provider Enumeration Date: 08/07/2008
  • Last Update Date: 12/10/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1951467331
  • Enrollment ID: I20090408000410

Medical Identifiers

Medical identifiers for Loretta Sue Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407002603NPI-NPPES
7100089740MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 3005770 (Kentucky)Primary
363L00000XNurse Practitioner 1083291 (Kentucky)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. Loretta Sue Wilson allows following entities to bill medicare on her behalf.
Entity NameGrace Community Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568625648
PECOS PAC ID: 3870654064
Enrollment ID: O20081211000571

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. Loretta Sue 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
Loretta Sue Wilson, NP
1019 Cumberland Falls Hwy, Suite B201,
Corbin, KY 40701-2735

Ph: (606) 526-9005		Loretta Sue Wilson, NP
39 Cumberland Gap Plz,
Gray, KY 40734-4536

Ph: (606) 526-9005

Reviews and Comments


Nurse Practitioner Nurses in Gray, KY

Ms. Tammy L Freeman, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10755 N Us Highway 25e, Gray, KY 40734
Phone: 606-258-8050    Fax: 606-258-8994
Natasha Garrison, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3191 Ky 1232, Gray, KY 40734
Phone: 606-260-2246    
Mrs. Edna Eugenia Stewart, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 39 Cumberland Gap Plaza, Gray, KY 40734
Phone: 606-526-9005    Fax: 606-526-8606
Mr. Vernon Eugene Taylor Jr., APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 39 Cumberland Gap Plz, Gray, KY 40734
Phone: 606-526-9005    Fax: 606-526-8607
Mrs. Mary Beth Lopez, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 39 Cumberland Gap Plz, Gray, KY 40734
Phone: 606-526-9005    Fax: 606-526-8607
Mrs. Rita Carol Gilbert, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 39 Cumberland Gap Plz, Gray, KY 40734
Phone: 606-275-3415    

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.