Dr Peter Frederick Wilson, PSYD in Gresham, OR - Medicare Clinical Psychologist Provider

Dr Peter Frederick Wilson, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Gresham, Oregon. He graduated from medical school in 1998 and has 27 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Cornerstone Clinical Services Pc and his current practice location is 1217 Ne Burnside Rd, Bldg B, Suite 401, Gresham, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 666-8832.

Dr Peter Frederick Wilson is licensed to practice in Oregon (license number 1467) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992897490.

Contact Information

	Dr Peter Frederick Wilson, PSYD
	1217 Ne Burnside Rd, Bldg B, Suite 401, Gresham, OR 97030-6722
	(503) 666-8832
	(503) 669-8641

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Peter Frederick Wilson
Gender	Male
Speciality	Clinical Psychologist
Experience	27 Years
Location	1217 Ne Burnside Rd, Gresham, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Peter Frederick Wilson graduated from medical school in 1998

NPI Data:

NPI Number: 1992897490
Provider Enumeration Date: 09/29/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3476598699
Enrollment ID: I20050628000158

Medical Identifiers

Medical identifiers for Dr Peter Frederick Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992897490	NPI	-	NPPES
164936	Medicaid	OR
131734	Other	OR	PERSONAL MEDICARE #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	1467 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cornerstone Clinical Services Pc	3274523378	13

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 Peter Frederick Wilson allows following entities to bill medicare on his behalf.

Entity Name	Cornerstone Clinical Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093892895 PECOS PAC ID: 3274523378 Enrollment ID: O20040512000950

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 Peter Frederick 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 Peter Frederick Wilson, PSYD Po Box 82819, Portland, OR 97282-0819 Ph: (503) 233-5405	Dr Peter Frederick Wilson, PSYD 1217 Ne Burnside Rd, Bldg B, Suite 401, Gresham, OR 97030-6722 Ph: (503) 666-8832

Reviews and Comments

Psychologist in Gresham, OR

Clark Paul Rector, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1700 Nw Civic Dr, Gresham, OR 97030 Phone: 503-666-8832 Fax: 503-669-8641
Dr. Ronn Jeffry Nelson Ii, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1700 Nw Civic Dr, Suite 310, Gresham, OR 97030 Phone: 503-476-4929
Beth Diane French, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 831 Nw Council Dr Ste 300, Gresham, OR 97030 Phone: 503-258-4600
Patricia Renee Shimek, MS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2222 E Powell Blvd, Gresham, OR 97080 Phone: 503-669-4300 Fax: 503-669-4301
Mrs. Joni Marie Moon, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 502 N Main Ave, Gresham, OR 97030 Phone: 503-891-0749
Dr. Douglas K. Hicks, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1217 Ne Burnside Rd, Building B, Suite 401, Gresham, OR 97030 Phone: 503-666-8832 Fax: 503-669-8641
Dr. Ryan Lee Skelton, PSY. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 123 E Powell Blvd, 305, Gresham, OR 97030 Phone: 503-789-9394

Dr Peter Frederick Wilson, PSYD - Medicare Psychologist in Gresham, OR