Mr Timothy Grey Wilson, PT is a medicare enrolled "Physical Therapist" provider in Phoenix, Arkansas. He graduated from medical school in 1980 and has 46 years of diverse experience with area of expertise as Physical Therapist In Private Practice. His current practice location is
7540 North 19th Avenue, #200, Phoenix, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(888) 873-4221.
Mr Timothy Grey Wilson is licensed to practice in North Carolina (license number 1782) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1285897595.
Healthcare Provider's Profile
| Full Name | Mr Timothy Grey Wilson |
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| Gender | Male |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 46 Years |
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| Location | 7540 North 19th Avenue, Phoenix, Arkansas |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Timothy Grey Wilson graduated from medical school in 1980
NPI Data:
- NPI Number: 1285897595
- Provider Enumeration Date: 07/07/2008
- Last Update Date: 07/07/2008
Medicare PECOS Information:
- PECOS PAC ID: 3678048725
- Enrollment ID: I20260407001667
Medical Identifiers
Medical identifiers for Mr Timothy Grey Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285897595 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 1782 (North Carolina) | 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 Timothy Grey Wilson allows following entities to bill medicare on his behalf.
| Provider Name | Broad River Rehabilitation |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1902317589
PECOS PAC ID: 3375801350
Enrollment ID: O20171220002681 |
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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 Timothy Grey 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 |
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Mr Timothy Grey Wilson, PT
7540 North 19th Avenue, #200,
Phoenix, AR 85021
Ph: (888) 873-4221 | Mr Timothy Grey Wilson, PT
7540 North 19th Avenue, #200,
Phoenix, AR 85021
Ph: (888) 873-4221 |
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