Paige Wilson, PHD, LP, HSPP is a medicare enrolled "Clinical Neuropsychologist" provider in Ann Arbor, Michigan. Her current practice location is
250 W Eisenhower Pkwy, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at
(810) 588-6377.
Paige Wilson is licensed to practice in Michigan (license number 6301019175) 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 1306131636.
Healthcare Provider's Profile
| Full Name | Paige Wilson |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 250 W Eisenhower Pkwy, Ann Arbor, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1306131636
- Provider Enumeration Date: 06/15/2011
- Last Update Date: 11/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 3971856659
- Enrollment ID: I20181025002807
Medical Identifiers
Medical identifiers for Paige Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306131636 | NPI | - | NPPES |
| 1306131636 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 6286 (Colorado) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 3593 (Wisconsin) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 6301019175 (Michigan) | 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. Paige Wilson allows following entities to bill medicare on her behalf.
| Entity Name | Dean Health Systems Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053358846
PECOS PAC ID: 7012827983
Enrollment ID: O20031105000584 |
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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. Paige 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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Paige Wilson, PHD, LP, HSPP
1347 Yorkshire Rd,
Birmingham, MI 48009-7414
Ph: (650) 743-6236 | Paige Wilson, PHD, LP, HSPP
250 W Eisenhower Pkwy,
Ann Arbor, MI 48103-6933
Ph: (810) 588-6377 |
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