Dr Adam Deforest Wilson, PHD in San Mateo, CA - Medicare Psychologist Provider

Dr Adam Deforest Wilson, PHD is a medicare enrolled "Psychologist - Clinical" provider in San Mateo, California. His current practice location is 10 Beresford Ct, San Mateo, California. You can reach out to his office (for appointments etc.) via phone at (607) 379-4305.

Dr Adam Deforest Wilson is licensed to practice in California (license number PSY34482) 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 1619756145.

Contact Information

	Dr Adam Deforest Wilson, PHD
	10 Beresford Ct, San Mateo, CA 94403-4597
	(607) 379-4305
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Adam Deforest Wilson
Gender	Male
Speciality	Psychologist - Clinical
Location	10 Beresford Ct, San Mateo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619756145
Provider Enumeration Date: 09/25/2023
Last Update Date: 09/25/2023

Medicare PECOS Information:

PECOS PAC ID: 4486000395
Enrollment ID: I20231030001727

Medical Identifiers

Medical identifiers for Dr Adam Deforest Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619756145	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY34482 (California)	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. Dr Adam Deforest Wilson allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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. Dr Adam Deforest 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
Dr Adam Deforest Wilson, PHD 1201 Milton St, Pittsburgh, PA 15218-1232 Ph: () -	Dr Adam Deforest Wilson, PHD 10 Beresford Ct, San Mateo, CA 94403-4597 Ph: (607) 379-4305

Reviews and Comments

Psychologist in San Mateo, CA

Junichi Shimaoka, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 S Ellsworth Ave Ste 802, San Mateo, CA 94401 Phone: 650-667-7193
Dr. Sharon A Humphrey, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 177 Bovet Rd Ste 300, San Mateo, CA 94402 Phone: 650-627-1700
Amy Sue Wernett, RBT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 400 Concar Dr, San Mateo, CA 94402 Phone: 650-931-6300
Dr. Lorena Michel, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 222 W 39th Ave, San Mateo, CA 94403 Phone: 650-573-3420
Eva K Pang, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 205 E 3rd Ave, San Mateo, CA 94401 Phone: 650-260-8820
Mrs. Lisa Marie Maheras, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 177 Bovet Rd., Suite 540, San Mateo, CA 94402 Phone: 650-573-5133 Fax: 650-394-4167
David F Berke, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 177 Bovet Rd, San Mateo, CA 94402 Phone: 650-343-9993

Dr Adam Deforest Wilson, PHD - Medicare Psychologist in San Mateo, CA