Nicholas Richard Wilson, PA-C - Medicare Physician Assistant in Temperance, MI

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Nicholas Richard Wilson, PA-C is a medicare enrolled "Physician Assistant - Medical" in Temperance, Michigan. He graduated from nursing school in 1998 and has 28 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Family Medical Center Of Michigan Inc and his current practice location is 8765 Lewis Ave, Temperance, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 847-3802.

Nicholas Richard Wilson is licensed to practice in Michigan (license number 5601005306) 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 1407871262.

Contact Information

Nicholas Richard Wilson, PA-C
8765 Lewis Ave,
Temperance, MI 48182-9583
(734) 847-3802
Not Available

Map and Direction




Provider's Profile

Full NameNicholas Richard Wilson
GenderMale
SpecialityPhysician Assistant
Experience28 Years
Location8765 Lewis Ave, Temperance, Michigan
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:
  • Nicholas Richard Wilson graduated from nursing school in 1998
  NPI Data:
  • NPI Number: 1407871262
  • Provider Enumeration Date: 07/13/2006
  • Last Update Date: 02/26/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 3779528179
  • Enrollment ID: I20140407001902

Medical Identifiers

Medical identifiers for Nicholas Richard Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407871262NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 5601005306 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ohioans Home HealthcareMonroe, MIHome health agency
Toledo Hospital TheToledo, OHHospital
Promedica Monroe Regional HospitalMonroe, MIHospital
Mercy Health St Vincent Medical CenterToledo, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Family Medical Center Of Michigan Inc276957565331

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. Nicholas Richard Wilson allows following entities to bill medicare on his behalf.
Entity NameFamily Medical Center of Michigan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265591812
PECOS PAC ID: 2769575653
Enrollment ID: O20070910000059

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. Nicholas Richard 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
Nicholas Richard Wilson, PA-C
8765 Lewis Ave,
Temperance, MI 48182-9583

Ph: (734) 847-3802		Nicholas Richard Wilson, PA-C
8765 Lewis Ave,
Temperance, MI 48182-9583

Ph: (734) 847-3802

Reviews and Comments


Physician Assistant Nurses in Temperance, MI

Ms. Hannah Gabrielle Salk, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 8765 Lewis Ave, Temperance, MI 48182
Phone: 734-847-3802    Fax: 734-850-0520
Marissa Callicotte, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 8765 Lewis Ave, Temperance, MI 48182
Phone: 734-654-2169    
Mr. Edward Charles Follas, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 8765 Lewis Ave, Temperance, MI 48182
Phone: 734-847-3802    Fax: 734-847-3418

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.