Gabriel Wilson, DPT - Medicare Physical Therapist in Fairmont, WV

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Gabriel Wilson, DPT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Fairmont, West Virginia. His current practice location is 719 Fairmont Ave, Suite 102, Fairmont, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 363-8543.

Gabriel Wilson is licensed to practice in West Virginia (license number PT003494) 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 1124401963.

Contact Information

Gabriel Wilson, DPT
719 Fairmont Ave, Suite 102,
Fairmont, WV 26554-5118
(304) 363-8543
(304) 363-1073

Map and Direction




Healthcare Provider's Profile

Full NameGabriel Wilson
GenderMale
SpecialityPhysical Therapist - Orthopedic
Location719 Fairmont Ave, Fairmont, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124401963
  • Provider Enumeration Date: 06/29/2015
  • Last Update Date: 06/29/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 5597067926
  • Enrollment ID: I20151231001242

Medical Identifiers

Medical identifiers for Gabriel Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124401963NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251X0800XPhysical Therapist - Orthopedic PT003494 (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. Gabriel Wilson allows following entities to bill medicare on his behalf.
Provider NameMountain State Physical Therapy Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1083668875
PECOS PAC ID: 1658269642
Enrollment ID: O20040310000571

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. Gabriel 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
Gabriel Wilson, DPT
719 Fairmont Ave, Suite 102,
Fairmont, WV 26554-5118

Ph: (304) 363-8543		Gabriel Wilson, DPT
719 Fairmont Ave, Suite 102,
Fairmont, WV 26554-5118

Ph: (304) 363-8543

Reviews and Comments


Physical Therapist in Fairmont, WV

Jenna Snyder, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1509 Fairmont Ave, Fairmont, WV 26554
Phone: 304-363-0050    Fax: 304-363-0048
Dr. David Wegert, PT, DPT, ATC
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1509 Fairmont Ave, Fairmont, WV 26554
Phone: 304-363-0050    
Jeniece Marie Kegley,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1539 Country Club Rd, Fairmont, WV 26554
Phone: 843-235-9393    
Ms. Ila Beth Anderson, MPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 51 Southland Dr, Suite 2300, Fairmont, WV 26554
Phone: 304-363-3167    Fax: 304-363-1725
Addison Kaufmann,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 1228 Country Club Rd Ste 15, Fairmont, WV 26554
Phone: 304-366-0461    
Renee Riffle Mcginnis, P.T.
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 719 Fairmont Ave, Suite 102, Fairmont, WV 26554
Phone: 304-363-8543    Fax: 304-363-0173

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.