Mrs Miranda Wilson, MS in Beckley, WV - Medicare Occupational Therapist Provider

Mrs Miranda Wilson, MS is a medicare enrolled "Occupational Therapist" provider in Beckley, West Virginia. Her current practice location is 21 Osprey Rd, Beckley, West Virginia. You can reach out to her office (for appointments etc.) via phone at (205) 393-4570.

Mrs Miranda Wilson is licensed to practice in West Virginia (license number 2125) 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 1215354857.

Contact Information

	Mrs Miranda Wilson, MS
	21 Osprey Rd, Beckley, WV 25801-1605
	(205) 393-4570
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Miranda Wilson
Gender	Female
Speciality	Occupational Therapist
Location	21 Osprey Rd, Beckley, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215354857
Provider Enumeration Date: 03/20/2014
Last Update Date: 12/08/2021

Medicare PECOS Information:

PECOS PAC ID: 0042742447
Enrollment ID: I20241010000037

Medical Identifiers

Medical identifiers for Mrs Miranda Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215354857	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	120505 (Texas)	Secondary
225X00000X	Occupational Therapist	11169 (Massachusetts)	Secondary
225X00000X	Occupational Therapist	2125 (West Virginia)	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. Mrs Miranda Wilson allows following entities to bill medicare on her behalf.

Provider Name	Sunshine Outpatient Clinic Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1174282065 PECOS PAC ID: 4688042849 Enrollment ID: O20240112000472

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. Mrs Miranda 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
Mrs Miranda Wilson, MS 218 Heslep Ave, Fayetteville, WV 25840-1145 Ph: (205) 393-4570	Mrs Miranda Wilson, MS 21 Osprey Rd, Beckley, WV 25801-1605 Ph: (205) 393-4570

Reviews and Comments

Occupational Therapist in Beckley, WV

Mrs. Allison Beth Venable, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Veterans Ave, Beckley, WV 25801 Phone: 304-255-2121
Skylar Beth Pauley, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Park Ave, Beckley, WV 25801 Phone: 304-256-4555
Katelynn Brooke Bolen, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 405 Stanaford Rd, Beckley, WV 25801 Phone: 304-252-6317
Rio Calvez Bero, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 306 Stanaford Rd, Beckley, WV 25801 Phone: 304-255-3302 Fax: 304-254-2783
Ms. Donna Jean Evans, O.T. Occupational Therapist Medicare: Medicare Enrolled Practice Location: 21 Osprey Rd, Beckley, WV 25801 Phone: 304-222-2329 Fax: 304-253-8316
Amy M Wix, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 115 Granville Ave, Beckley, WV 25801 Phone: 304-536-4661

Mrs Miranda Wilson, MS - Medicare Occupational Therapist in Beckley, WV