Mr Kristopher Edward Wilson, MOT in Orange Park, FL - Medicare Occupational Therapist Provider

Mr Kristopher Edward Wilson, MOT is a medicare enrolled "Occupational Therapist" provider in Orange Park, Florida. His current practice location is 1280 Harbour Town Dr, Orange Park, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 710-8571.

Mr Kristopher Edward Wilson is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1578739975.

Contact Information

	Mr Kristopher Edward Wilson, MOT
	1280 Harbour Town Dr, Orange Park, FL 32065-2562
	(904) 710-8571
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kristopher Edward Wilson
Gender	Male
Speciality	Occupational Therapist
Location	1280 Harbour Town Dr, Orange Park, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578739975
Provider Enumeration Date: 05/06/2008
Last Update Date: 04/17/2023

Medicare PECOS Information:

PECOS PAC ID: 7911363668
Enrollment ID: I20230522003456

Medical Identifiers

Medical identifiers for Mr Kristopher Edward Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578739975	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT13205 (Florida)	Secondary
225X00000X	Occupational Therapist	(* (Not Available))	Primary

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. Mr Kristopher Edward Wilson allows following entities to bill medicare on his behalf.

Provider Name	Modified Independence Evaluations Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1356037980 PECOS PAC ID: 6103282850 Enrollment ID: O20230522003438

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. Mr Kristopher Edward 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 Address	Practice Location Address
Mr Kristopher Edward Wilson, MOT 1280 Harbour Town Dr, Orange Park, FL 32065-2562 Ph: (904) 710-8571	Mr Kristopher Edward Wilson, MOT 1280 Harbour Town Dr, Orange Park, FL 32065-2562 Ph: (904) 710-8571

Reviews and Comments

Occupational Therapist in Orange Park, FL

Mrs. Ashley Marie Loveland, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1215 Kingsley Ave, Orange Park, FL 32073 Phone: 904-269-8922
Brooks Rehabilitation Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Park Ave, Orange Park, FL 32073 Phone: 904-278-7890
Athena Hunsicker, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 550 Wells Rd, Orange Park, FL 32073 Phone: 904-278-7890
April Diane Coats, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 550 Wells Rd, Suite 4, Orange Park, FL 32073 Phone: 904-278-7890 Fax: 904-278-7762
Mrs. Jennifer Stanley Estrada, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1215 Kingsley Ave, Orange Park, FL 32073 Phone: 904-269-8922 Fax: 904-541-3294
Mrs. Courtney Hudson, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Wells Rd Ste 4, Orange Park, FL 32073 Phone: 904-278-7890
Elizabeth Blake Curtis, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1409 Kingsley Ave, Suite 6b, Orange Park, FL 32073 Phone: 904-215-2422 Fax: 904-215-6122

Mr Kristopher Edward Wilson, MOT - Medicare Occupational Therapist in Orange Park, FL